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EXHIBIT 4 <br />State of California - Department of Fish and Wiidilfe <br />2025 ENVIRONMENTAL DOCUMENT FILING FEE <br />CASH RECEIPT <br />DFW753.5a (REV. 01/01125) Previously DFG 753.5a <br />LEAD AGENCY <br />CITY OF SANTAANA <br />OF FILING <br />ORANGE COUNTY <br />PROJECT TITLE <br />OR PRINT CLEARLY. <br />LEAD AGENCY EMAIL <br />RECEIPT NUMBER: <br />30-02/2012025-0092 <br />STATE CLEARINGHOUSE NUMBER (if applicable) <br />02120/2026 <br />DOCUMENT NUMBER <br />202586000116 <br />LOCAL STREET PREVENTATIVE MAINTENANCE FY 24-25 <br />PROJECT APPLICANT EMAIL PHONE NUMBER <br />PROJECT APPLICANT NAME <br />CITY OF SANTA ANA, PUBLIC WORKS AGENCY <br />PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE <br />20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702 <br />PROJECT APPLICANT (Check appropriate box) <br />© Local Public Agency ❑ School District ❑ Other Special District ❑State Agency ❑Private Entry <br />CHECK APPLICABLE FEES: <br />❑ 2 <br />Environmental Impact Report (EIR) $ ,128.$ <br />❑ Mitigated/Negative Declaration (MND)(ND) $ ,96$.75 <br />❑ Certified Regulatory Program (CRP) document -payment. due directly to CDFW $ 1,401.75 $ <br />p Exempt from fee <br />0 Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />❑ Fee previously paid (attach previously issued cash receipt copy) <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) $ 850.00 $ <br />❑ County documentary handling fee $ 50.00 $ <br />© Other $ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit [I Check ❑ Other TOTAL RECEIVED $ OAO <br />SIGNATURE <br />X <br />1GENCY OF FILING PRINTED NAME AN I I I LIz <br />Jacqueline Chaboya Deputy Clerk <br />ORIGINAL -PROJECT APPLICANT COPY-CDFMASB COPY - LEAD AGENCY COPY-COUNTYCLERK INW753.5aIRtv.01012025) <br />