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*ENVIRONMENTAL DECLARATION <br />(CALIFORNIA FISH AND GAME CODE SECTION 711.4) <br />LEAD AGENCY NAME AND ADDRESS <br />City of San Leandro <br />Public works Department <br />14200 Chapman Rd <br />San Leandro, CA 94578 <br />FOR COUNTY CLERK USE ONLY <br />ENDORSED <br />D <br />F IL E D <br />ALAMEDA COUNTY <br />AUG 1 1 2011 <br />PATRICK O'CONN��L, County Clerk <br />FILE NO: By o te wy <br />CLASSIFICATION OF ENVIRONMENTAL DOCUMENT: <br />(PLEASE MARK ONLY ONE CLASSIFICATION) <br />1. NOTICE OF EXEMPTION / STATEMENT OF EXEMPTION <br />[X] A - STATUTORILY OR CATEGORICALLY EXEMPT <br />$ 50.00 - COUNTY CLERK HANDLING FEE <br />2. NOTICE OF DETERMINATION (NOD) <br />[ ] A - NEGATIVE DECLARATION (OR MITIGATED NEG. DEC.) <br />$ 2,044.00 - STATE FILING FEE <br />$ 50.00 - COUNTY CLERK HANDLING FEE <br />[ ] B - ENVIRONMENTAL IMPACT REPORT (EIR) <br />$ 2,839.25 - STATE FILING FEE <br />$ 50.00 - COUNTY CLERK HANDLING FEE <br />*A COPY OF THIS FORM MUST BE COMPLETED AND SUBMITTED WITH EACH COPY OF AN <br />ENVIRONMENTAL DECLARATION BEING FILED WITH THE ALAMEDA COUNTY CLERK. <br />FOUR (4) COPIES OF ALL NECESSARY DOCUMENTS ARE REQUIRED FOR FILINGS SUBMITTED BY <br />MAIL. FIVE (5) COPIES ARE REQUIRED FOR IN- OFFICE FILINGS. <br />ALL APPLICABLE FEES MUST BE PAID AT THE TIME OF FILING. <br />FEES ARE EFFECTIVE JANUARY 1, 2011 <br />MAKE CHECKS PAYABLE TO: ALAMEDA COUNTY CLERK <br />J:l /VGBSTUFF/ E I R COVERSHE ET <br />