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State of California - Department of Fish and Wildlife <br />2023 ENVIRONMENTAL DOCUMENT FILING FEE <br />CASH RECEIPT <br />DFW 753.5a (REV. 01/01/23) Previously DFG 753.5a <br />AC RECEIPT #: 3401877 <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. <br />LEADAGENCY <br />CITY OF SAN LEANDRO ENGINEERING &TRANSPORTATION LEADAGENCY EMAIL <br />i"'.rll MTV/C�-nrr n <br />��rrvuY OF FILING <br />ALAMEDA <br />PROJECT TITI F <br />LEJ <br />[--Sa-ve— <br />'RE�CEIPTNUMBER: <br />01-03/07/2023- 061 <br />- I r I r- I-Lt:AKINGHOUSE NUMBER (If applicable) <br />SANITARY SEWER POINT REPAIRS 2022-23; PROJECT NO. 2022-0120 <br />PROJECTAPPI IraniT <br />ROBERT MAGNO <br />'N-Jl=t- I HFFLICANTADDRESS <br />835 EAST 14TH STREET <br />PPr) IC!"r <br />-- • • -• • 1 (LnecK appropriate box) <br />✓[] Local Public Agency El School District <br />PROJECT APPLICANT EMAIL <br />STATE <br />SAN LEANDRO CA <br />DATE <br />03/07/2023 <br />JUUUMENT NUMBER <br />23 - 061 <br />Fr1UNE NUMBER <br />(510) 577-3373 <br />_ir UUUE <br />94577 <br />Other Special District Ej State Agency <br />CHECK APPLICABLE FEES: <br />❑ Environmental Impact Report (EIR) <br />❑ Mitigated/Negative Declaration (MND)(ND) <br />❑ Certified Regulatory Program (CRP) document - payment due directly to CDFW <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 />$3,839.25 $ <br />$2,764.00 $ <br />$1,305.25 $ <br />❑ Water Right Application or Petition Fee (State Water Resources Control orno Board only) $850.00 <br />El County documentary handling fee $ <br />❑ Other $ <br />PAYMENT METHOD: $ <br />❑ Cash ❑ Credit ❑ Check El Other <br />TOTAL RECEIVED $ <br />SIGNATI MR <br />El Private Entity <br />0.00 <br />0.00 <br />0.00 <br />AGENCY OF FILING PRINTED NAME AND TITLE <br />CBACA , DEPUTY CLERK <br />50.00 <br />