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*ENVIRONMENTAL DECLARATION <br />(CALIFORNIA FISH AND GAME CODE SEC. 711.4) <br />NAME AND ADDRESS OF APPLICANT OR LEAD AGENCY <br />y of San Leandro <br />City Clerk <br />835 East 14th Street <br />San Leandro, CA 94577 <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 (GOVERNMENT § 27383) <br />CERTIFICATE OF FEE EXEMPTION REQUIRED <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />FOR COURX'' "iNTY <br />JUH _2 3 im <br />anTR[Clk O'CONNF_l.1., County Clerk <br />ay Deputy <br />17 <br />FILING NO. 33J � �Fq <br />NOTICE OF DETERMINATION - FEE REQUIRED <br />[ ] A - NEGATIVE DECLARATION <br />$1,250.00 (Twelve Hundred Fifty Dollars) - STATE FILING FEE <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />[ J 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 for PD-97-10 and A-98-4 <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />CLERK'S <br />USE ONLY <br />PLU 117 <br />PLU 117 <br />PLU 116 <br />PLU 115 <br />PLU 117 <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 <br />WITH THE ALAMEDA COUNTY CLERK'S OFFICE. <br />MAKE CHECK PAYABLE TO: ALAMEDA COUNTY CLERK <br />1/15/91-1056C <br />g:W—\- ga\filing-- <br />