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NOTICE OF EXEMPTION <br />TO: <br />FROM: <br />❑ <br />(Public <br />Office of Planning and Research <br />Agency) <br />P. O. Box 3044, Room 113 <br />Sacramento, CA 95812-3044 <br />❑ <br />Clerk of the Board of Supervisors <br />Address <br />or <br />County Clerk <br />County of <br />1. <br />Project Title: <br />2. <br />Project Applicant: <br />3. <br />Project Location — Identify street address and <br />cross streets or attach a map showing project site <br />(preferably a USGS 15' or 7 1/2' topographical <br />map identified by quadrangle name): <br />4. <br />(a) Project Location — City: <br />(b) Project Location— County: <br />5. <br />Description of nature, purpose, and beneficiaries <br />of Project: <br />6. <br />Name of Public Agency approving project: <br />7. <br />Name of Person or Agency undertaking the <br />project, including any person undertaking an <br />activity that receives financial assistance from the <br />Public Agency as part of the activity or the person <br />receiving a lease, permit, license, certificate, or <br />other entitlement of use from the Public Agency <br />as part of the activity: <br />8. <br />Exempt status: (check one) <br />(a) ❑ Ministerial project. <br />(Pub. Res. Code § 21080(b)(1); State CEQA Guidelines § <br />15268) <br />(b) ❑ Not a project. <br />Notice of Exemption FORM `B" <br />75D-183 <br />