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State of California - Department of Fish and Wildlife <br />2014 ENVIRONMENTAL FILING FEE CASH RECEIPT <br />bFW 7595a (Rev. 00113)40925 <br />I2—q <br />( Y 5 <br />9I=F IN49'gI1rYlnAre nr.r nr, •r-r.n.- ..,.... ...�..�. <br />STAT' OFF ARll! rD (r l' �f <br />(f Local Public Agency ❑ Sohool District LIOther Special District ❑ State Agant] cy Private Flit Iv <br />CIIECKAPPL.ICABLE FEES; - -------.- <br />Environmental Impact Report (EIR) 43.029.75 .G <br />Mitigated/Negative Declaration (MND)(ND) 'd"2, it31.25 S __ <br />❑ Application Fee Water Diversion (State Water Resources Control board only) $950.00 S <br />B Projects Subject to Certified Regulatory Programs (CRP) bi 030.25 ;J <br />[� County Administrative Fee $5000 $ <br />❑ Project that is exempt from foes <br />❑ Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />❑ Othel' ._____ <br />PAYMENT IJIETHOD: <br />❑ Cash ❑ Credit <br />SIGNATURE. <br />Check ❑ Other <br />9 <br />TCTAL RECEIVED <br />'TITLE <br />4VHITG PR6JEC I'FP(OCANT YE1-L0W-CmWIA55 PINK-LEADAGENCY GOLDENRoof - <br />c ouN; Y clt:Rl< <br />