Laserfiche WebLink
.,. .j State of California - Deparim. rit of Fish and Wildlife <br />2014 ENVIRONMENTAL, FILING FEE CASH RECEIPT <br />t <br />DFW 753.5a (Rev. 09/13) <br />RECEIPTIt a 5 0 9 1. 1 <br />'- 6--r +-- <br />_—�A Local Public Agency ❑ School District ❑ Other Special District <br />❑ State Agency <br />❑_ Private Entity <br />CHECK APPLICABLE FEES:- <br />_ _ <br />❑ Environmental Impact Report(EIR) <br />$3,029.75 <br />$ <br />❑ Mltigmed/Negative Dedication(MND)(ND) <br />$2,181.25 <br />$ <br />❑ Application Fee Water Diversion (State Water Resources Controt Board only) <br />$850.00 <br />$ <br />❑ Projects Subject to Certifled Regulatory Programs (CRP) <br />$1,030.25 <br />$ <br />❑ County Adminislrativo Fee <br />$50.00 <br />$ <br />Project that is exempt from fees <br />Notice of Exemption (attach) <br />CDFW No Effect Determination (attach) <br />❑ Other <br />$ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit ❑ Check ❑ Other <br />TOTALRECEIVED <br />$ <br />/ <br />) � <br />APPLICANT YELLOW-COMWASE PINK.LLADAGENCY GOLDEN ROD -COUNTY CLERK <br />