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Mlftn State of California - Department of Fish and Wildlife <br />2025 ENVIRONMENTAL DOCUMENT FILING FEE <br />CASH RECEIPT <br />DFW 753.5a (REV. 01/01/25) Previously UFG 753.5a <br />- <br />Print Save <br />AC RECEIPT #: 3768943 <br />RECEIPT NUMBER <br />01-04/15/2025- 151 <br />STATE CLEARINGHOUSE NUMBER (if applicable) <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. <br />LEADAGENCY <br />LEADAGENCY EMAIL <br />DATE <br />CITY OF SAN LEANDRO <br />04/15/2025 <br />COUNTY/STATE AGENCY OF FILING <br />DOCUMENT NUMBER <br />ALAMEDA <br />25-151 <br />PROJECT TITLE <br />FAIRWAY DRIVE TRAFFIC CALMING <br />PROJECTAPPLICANT NAME <br />PROJECT APPLICANT EMAIL <br />PHONE NUMBER <br />CITY OF SAN LEANDRO <br />(510) 577-3497 <br />PROJECTAPPLICANT ADDRESS <br />CITY <br />STATE <br />ZIP CODE <br />835 E 14TH STREET <br />SAN LEANDRO <br />CA <br />94577 <br />PROJECT APPLICANT (Check appropriate box) <br />Q Local Public Agency ❑ School District ❑ Other Special District <br />❑ State Agency Private Entity <br />CHECK APPLICABLE FEES: <br />❑ Environmental Impact Report (EIR) <br />$4,123.50 $ 0.00 <br />❑ Mitigated/Negative Declaration (MNO)(ND) <br />$2,968.75 $ 0.00 <br />❑ Cedified Regulatory Program (CRP) document - payment due directly to CDFW <br />$1 40L25 S 0.00 <br />0 Exempt from fee <br />0 Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />❑ Fee previously paid (attach previously issued cash receipt copy) <br />O Water Right Application or Petition Fee (State Water Resources Control Board only) <br />$850.00 $ 0,00 <br />County documentary handling lee <br />S 50.00 <br />❑ Other <br />$ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit 0 Check ❑ Other TOTAL RECEIVED $ 50.00 <br />SIGNATURE <br />AGENCV OF FILING PRINTED NAME AND TITLE <br />X � <br />ARHAM S, DEPUTY CLERK <br />