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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 />FILING REQUESTED BY: <br />City of San Leandro <br />Development Services Department <br />835 East 14t' Street <br />San Leandro, CA 94577 <br />WHEN FILED RETURN TO: <br />City 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 3 27383) <br />v CERTIFICATE OF FEE EXEMPTION REQUIRED <br />$25.00 (Twenty-five Dollars) - CLERK'S FEE <br />FOR COURT USE ONLY,', <br />NOV U t 2002 <br />�ATRICK O'CONNELL, G,: <br />�v TtAjd� <br />FILING NO. MG C// —tj <br />CITY OF SAN LEANDRO <br />DEC 1 6 2002 <br />CITY CLERK'S RICS <br />i� 1gL Y <br />PLU 117 <br />PLU 117 <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 <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 />Rev. 1/15/91-1056C g:\a-rormskega�filing.evr <br />