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• <br /> ;tt <br /> •• `1 `(i31U 51ale.orOViu n•Deprn4aI4ofFIetrandtWJphte <br /> h.z°,r,,; 2018 ENVIRONMENTAL FILPNC`a..FEE CASH REt 1PT <br /> }+. DFW 753.5a(Rev,01/01/18)Previously DEG 753,Sa i <br /> t`I �Y , : ° rl � r,r tp <br /> - 'rt� a .,Fn� ',, _1.sv d Ci+ / '"r., t <br /> RECEIPTNUMBER <br /> 30.2019 1257 <br /> Mit CLEARINGHOUSE NUMBER OrePANcatee) <br /> SEE INS]R IUTIONS'ow REVBf81:.nee 001'RfNTCLEARLY, NA <br /> LEADAGENCY LEFDAQEN01'EMAIL DATE <br /> ORANdE'COUNTYTRAN8PO TATIONAUTHORITY 12/2412019 <br /> aour TV1STATE ADENpY OP FILING DOCUMENT NUMBER <br /> OtBn4 .•. •_•.. _... _. 2D1986Ci01288 <br /> PROJECT.TITLE <br /> EDNGER AVENUE'REOINAL SYNCHRONIZATION PROJECT <br /> PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL . PNONE'NUMBER <br /> -OCTA . . '(714)560"57t41 ' . <br /> PRWLGTAPOLICAN'TADDRESS CITY STATE ZIP CODE <br /> 560.S.'MA1N ST PRANGS. CA • 92868 <br /> PROJECT APPLICANT(Glider nppeopdoia fiakJ ' <br /> Z Local Public—Agony ElBefrool 4ttwIct El Other Special Oialrlel ©Stele Agency ri Peyote sulfa, <br /> CHECK APPLICABLE PEES; <br /> ❑ Envifrulrnentai Ironed Report(EIR) Sa.27.1J10 s 0.00 <br /> 0l4IlgeledINegat9re0eNarkVogtMN10(Np1 12,354 S _ 0.00 <br /> C] Conigad Regulatory Margo ddc i ent(GRP) 11112,00 .g 0.00 <br /> O Exempt TmUa far <br /> e ewer,of EernpUon(ettaob <br /> ,0 CORN No Effect Deterrrtinalton IaLWeh( <br /> 0.Fee prevtpuafy peal litteeh nfeulouely Issued cash fecalpl ee1YI <br /> 0WnietRightAppllaetionOrPatilkm)Pee(StateWaterReseerPeetoorei'Baefdonly) MCA Y _ .0.00 <br /> © Goer*/*lei-0pq01Y handeag rae a' ^ 0:00 <br /> J Other s' <br /> PAYMENTMET110th <br /> C7 Earth 9 Credit L Check [] Char 'TOTAL RECEIVED 'S 0,,.00 <br /> SIGNATURE — —AGENCY CP FILING PRINTED NAME AND TITLE <br /> ' <br /> X ROBERTO URIOSTEGUI, DEPUTY CLERK <br /> • <br /> CRlGIa.4.PR0ra'tt V(IUCAW COPt^CtiydMQ dPY.r,1A10,tttrey coin•WIIIRfl owl-it, &rimat.ain]etMt2I6I <br /> 11 <br />