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<br />., y1 *ENVIRONMENTAL DECLARATION <br />(CALIFORNIA FISH AND GAME CODE SEC. 711.4) <br />NAME AND ADDRESS OF APPLICANT OR LEAD AGENCY: A~AMEDA COUNTY <br />City of San Leandro FEB 2 $ 20~ <br />Development Services Department `-'"" `~~~~-, Pq ICK ~C EL COu <br />~ my Clerk <br />~ -, , ~ <br />83 5 East 14th Street ~ ~ ~ ` ~ " ~ ~ ~. ~ - ' D~~ <br />°' -~ ~ - FILING NO. <br />San Leandro CA 94577 / ~ ' /~ /~ <br />A <br />CLASSIFICATION OF ENVIRONMENTAL DOCUMENT: <br />1. NOTICE OF EXEMPTION/STATEMENT OF EXEMPTION <br />[ ] A -STATUTORILY OR CATEGORICALLY EXEMPT <br />$25.00 (Twenty-five Dollars) -CLERK'S FEE <br />[ ] B - DE MINIMUS IMPACT -CERTIFICATE OF FEE EXEMPTION REQUIRED <br />$25.00 (Twenty-five Dollars) -CLERK'S FEE <br />2. ~ NOTICE OF DETERMINATION -FEE REQUIRED <br />[ ] -NEGATIVE DECLARATION <br />$1,250.00 (Twelve Hundred Fifty Dollars) -STATE FILING FEE <br />$25.00 (Twenty-five Dollars) -CLERK'S FEE <br />[ ] B -ENVIRONMENTAL IMPACT REPORT <br />$850.00 (Eight Hundred Fifty Dollars) -STATE FILING FEE <br />$25.00 (Twenty-five Dollars) -CLERKS FEE <br />3. [X] OTHER (Specify) Notice of Determination with De Minimis <br />$25.00 (Twenty-five Dollars) -CLERK'S FEE <br />PLU 117 <br />CLERK'S <br />T iCF. (1NT .V <br />PLU 117 <br />PLU 117 <br />PLU 116 <br />PLU 115 <br />*THIS FORM MUST BE COMPLETED AND SUBMITTED WITH ALL ENVIRONMENTAL DOCUMENTS <br />FILED WITH THE ALAMEDA COUNTY CLERK'S OFFICE. <br />FOUR COPIES OF ALL NECESSARY DOCUMENTATION ARE REQUIRED FOR FILING PURPOSES. <br />APPLICABLE FEES MUST BE PAID AT THE TIME OF FILING AN ENVIRONMENTAL DOCUMENT WITH <br />THE ALAMEDA COUNTY CLERK'S OFFICE. <br />MAKE CHECK PAYABLE TO: ALAMEDA COUNTY CLERK <br />Rev. 1/15/91-1056C <br />g:\a-forms\cega\filing.cvr <br />