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NVIRONMENTAL DECLARATION <br />(Cy ZNIA FISH AND GAME CODE SEC I) <br />FOR COjtjVONLY <br />NAME AND ADDRESS OF APPLICANT OR LEAD AGENCY: CpUNN <br />ACME <br />City of San Leandro : of � ' �7 <br />Development Services Department CITY OF SAN LEANDR(3 �'c©tA�'ELL1 G001► Cl <br />835 East 14th Street <br />JUN 2 7 1997 9NOM <br />CITY CLERK'S OFFICE MtZN0. <br />San Leandro CA 94577 <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 OF FEE EXEMPTION REQUIRED PLU 117 <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />2. NOTICE OF DETERMINATION - FEE REQUIRED 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 SUBMITTED 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:\a4b—\cNa\51in&— <br />