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2025 ENVIRONMENTAL DOCUMENT FILING FEE <br />CASH RECEIPT <br />DFW 753.5a (REV. 01/01/26) Previously DFG 753.5a <br />i <br />AC RECEIPT #: 3735861 <br />RECEIPT NUMBER: <br />01- 02/11 /2025 - 037 <br />STATE CLEARINGHOUSE NUMBER (If applicable) <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. 20231 10597 <br />LEADAGENCY LEADAGENCY EMAIL DATE <br />CITY OF SAN LEANDRO 02/11/2025 <br />COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER <br />AL.AMEDA 25 - 037 <br />Y'MUJtI, I I I I Lt <br />880 DOOLITTLE DRIVE INDUSTRIAL PROJECT <br />PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER <br />CINDY LEMAIRE, AICP, CNU-A (510) 577-3348 <br />PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE <br />835 EAST 14TH STREET SAN LEANDRO CA 94577 <br />PROJECT APPLICANT (Check appropriate box) <br />© Local Public Agency School District Other Special District State Agency Private Entity <br />CHECK APPLICABLE FEES: <br />0 Environmental Impact Report (EIR) $4,123.50 $ 4,123.50 <br />❑ Mitigated/Negative Declaration (MND)(ND) $2,968.75 $ 0.00 <br />❑ Certified Regulatory Program (CRP) document - payment due directly to CDFW $1.401.25 $ 0.00 <br />❑ Exempt from fee <br />❑ Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />❑ Fee previously paid (attach previously issued cash receipt copy) <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ 0.00 <br />0 County documentary handling fee $ 50.00 <br />❑ Other $ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit 0 Check El Other TOTAL RECEIVED $ 4,173.50 <br />SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE <br />X A. MORAN , DEPUTY CLERK <br />-ti <br />m n <br />N <br />h <br />C� <br />Dm t <br />n <br />n <br />u <br />nt <br />XS <br />< <br />rrm <br />I.,z <br />r. t <br />i -! <br />m <br />M <br />O , <br />n <br />O <br />3 z t <br />t <br /># t <br />p <br />3 <br />n <br />D <br />m w <br />N V <br />N <br />c <br />z <br />w <br />{ <br />tD <br />t <br />oN <br />T <br />f - <br />M <br />CS) <br />Ln <br />t+ <br />it <br />z <br />r <br />{ <br />N <br />t <br />n; <br />? is <br />.A t <br />Dtl <br />y <br />n <br />t <br />p <br />W It <br />w <br />t <br />LT {! <br />if i <br />m <br />fir• <br />m <br />m, <br />n <br />M <br />3 <br />F-' O <br />_ D m n <br />er r�0 <br />+-•ny3yc <br />�✓ C3 Q -I <br />Ne H { <br />LA <br />N nn o n <br /><T0m <br />W lD N X <br />rn++—I R <br />n 0 z t <br />m z <br />V m m <br />O <br />G <br />z <br />