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*ENVIRONMENTAL DECLARATION <br />(CALIF. FISH A0 WE 11.4) <br />NAME AND ADDRESS OF APPLICANT OR LEAD AGENCY: <br />00� <br />.FOR COUR> _JJSE ONLY <br />FILED <br />ALAMEDA COUNTY <br />FILING .O <br />DEC - 6 1999 <br />CLERKS <br />CLASSIFICATION OF ENYIRONW_NTAL DOCUMENT: U=11 7-Y <br />1. NOTICE OF EXEMPTION/STATEMENT OF EXEMPTION PLU 117 <br />[�] A - STATUTORILY OR CATEGORICALLY EXEMPT <br />$25.00 (Twenty-five Dollars) — CLERK'S FEE <br />[ ] B - DE W NIMUS IMPACT - CERTIFICATE OF FEE EXEMPTION REQUIRED PLU 117 <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />2. NOTICE OF DETERMINATION - FEE REQUIRED <br />(] A - NEGATIVE DECLARATION PLU 116 <br />$1,250.00 (Twelve Hundred Fifty Dollars) - <br />STATE FILING FEE <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />(] B - ENVIRONMENTAL IMPACT REPORT PLU 115 <br />V50.00 (Eight Hundred Fifty Dollars) - STATE <br />FILING FEE <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />3. (] OTHER (Specs fy) PLU <br />$25.00 (Twee ty-five o ars) - 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: ALA? DA COUNTY CLERK <br />Rev. 1 /15/91-1056C <br />