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4VIRONMENTAL DECLARATION <br />(CA :NIA FISH AND GAME CODE SEC ) <br />FOR C�i1R O ONLY <br />NAME AND ADDRESS OF APPLICANT OR LEAD AGENCY: F tprA C <br />ALAME <br />City of San Leandro t`� ^1� ro <br />a �, sn, ,47 <br />CITY OF SAM LEANDRO <br />Development Services Department , CWk <br />J U N 2 7 1997 PATROo comELL, Caun!� <br />835 East 14th Street g 9"" 4 ` `1 , <br />CITY CLERK'S OFFICE : FILING NO. <br />San Leandro CA 94577 O 8 5 _ 9 �] <br />CLERK'S <br />CLASSIFICATION OF ENVIRONMENTAL DOCUMENT: USE ONLY <br />1. NOTICE OF EXEMPTION/STATEMENT OF EXEMPTION PLU 117 <br />[X] A - STATUTORILY OR CATEGORICALLY EXEMPT <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />[ ] B - DE MINIMUS IMPACT - CERTIFICATE ORTEE EXEMPTION REQUIRED PLU 117 <br />$25.00 (Twenty-five Dollars) - CLERK'S FB]Pn <br />,n <br />i� <br />2. NOTICE OF DETERMINATION - FEE REQUIRE13 PLU 116 <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 />[ ] B - ENVIRONMENTAL IMPACT REPORT PLU 115 <br />$850.00 (Eight Hundred Fifty Dollars) - STATE FILING FEE <br />$25.00 (Twenty-five Dollars) - CLERKS FEE <br />3. [ ] . OTHER (Specify) PLU 117 <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />*THIS FORM MUST BE COMPLETED AND SUBN=D WITH ALL ENVIRONMENTAL DOCUMENTS FILED <br />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-f0=\0"\fitMsCW <br />