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NVIRONM ENTAL DECLARATIOI <br />(CA kNIA FISH AND GAME CODE SE( <br />4) <br />i <br />NAME AND ADDRESS OF APPLICANT OR LEAD AGENCY: <br />City of San Leandro <br />Development Services Department <br />835 East 14th Street <br />San Leandro CA 94577 <br />CITY OF SAKI I FANDRO : <br />JUN41 <br />2 7 1997 <br />CITY CLERK'S OFFICE <br />CLASSIFICATION OF ENVIRONMENTAL DOCUMENT: <br />1. NOTICE OF EXEMPTION/STATEMENT OF EXEMPTION <br />[X] A - STATUTORILY OR CATEGORICALLY EXEMPT <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />FOR COURT USE ONLY <br />F' L E D <br />ALAMEDA COUNTY <br />[ ] B - DE MINIWS IMPACT - CERTIFICATE OF FEE EXEMPTION REQUIRED <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />2. 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 />[ ] B - ENVIRONMENTAL RVTACT REPORT <br />$850.00 (Eight Hundred Fifty Dollars) - STATE FILING FEE <br />$25.00 (Twenty-five Dollars) - CLERKS FEE <br />3. [ ] OTHER (Specify) <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />r i i <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 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 />Rev. 1/15/91-1056C <br />g;\&-fbnw��\fihn&cw <br />MAKE CHECK PAYABLE TO: ALAMEDA COUNTY CLERK <br />