Laserfiche WebLink
SM1e Of CallfOmie - DOW Meet of filch and Wildlife <br />2022 ENVIRONMENTAL DOCUMENT FILING FEE <br />CASH RECEIPT <br />OFW 753.59 (REV. 01101122)Pfevl0d9lyM 753.58 <br />LMDA09NOY EMAIL <br />CITY OF SANTA ANA <br />SANTA ANA CITY HALL 2ND AND 5TH FLOOR TE <br />CITY OF SANTA ANA, PUBLIC WORKS AGENCY <br />20 CIVIC CENTER PLAZA U-36 <br />i 'Print Ste ' l gave <br />iECEIPT NUMBER: <br />30 — 0010912022 — 0683 <br />ANA CA <br />08/09/2022 <br />I) teem Pueec Agahey ❑ gat+oM pinhtat © Other 6P4401Dlaldat ❑ Stato Ag" © Privets Enaty <br />CHECK AFIPLICABLE FEES: <br />ErMmnmental lmpaat Repat (F]R) <br />0 Mdigatadn-iagaava Declaration (MNLt)IoS)} <br />d Certified Regulatory Program(GRP) docurnard-payment due difodyto CDFW <br />d Exempt horn too <br />El NolpeolExemptlon(altaob) <br />Cl CDFW No Eftot Daterminatlon (attach) <br />D No pteviowsy paid (andach prevtoutly Inved oaah moolptcapy) <br />$3,539.26 $ d•�n <br />32.54BX0 $ 0.00 <br />$1,203,25 S n.nn <br />❑ Wibl Right Applicak'an or Pelbw Fee {State Water Rescrumea Control Board only) $85D.e0 $ <br />❑ Caurrydocumentary6rallingtes <br />�] Other $ <br />PAYMENT METHOD: <br />0.00 <br />0.00 <br />❑ Cash ❑ Credft ❑ Check D Other TOTAL RICEWED E 0.)0 <br />X / ' f. r , [DEPUTY CLERK. CLAUDIA FRANCO <br />CA14lNAL.PMWrAPPUCM7 CpPY-OFWA40 COPY'LEM AGENCY C4nF,CMwTYCLEax ofe 753.5a oby. 010twv) <br />