Laserfiche WebLink
a <br />State of California � Department of Fish and Wildlife <br />2019 ENVIRONMENTAL FILING FEE CASH RECEIPT <br />DFW 753,5a (Rev. 01/01118) Previously DFG 753.5a <br />fi <br />30-2019 1138 <br />STATE CLEARINGHOUSE NUMBER (if applicable) <br />SEE INSTRUCTIONS ON REVERSE, TYPE OR PRINT CLEARLY <br />2018021031 _... <br />LEADAGENCY <br />LEADAGENCY EMAIL <br />DATE <br />CITY OF SANTA ANA <br />11/20/2019 <br />COUNTYISTATE AGENCY OF FILING <br />DOCUMENT NUMBER <br />Orange <br />201985001169 <br />PROJECT TITLE <br />2525 N. MAIN STREET MULTIFAMILY RESIDENTIAL PROJECT <br />PROJECT APPLICANT NAME <br />PROJECTAPPLICANT EMAIL <br />PHONENUMISER <br />AC 2525 MAIN LLC. <br />(714)667-2740 <br />PROJECT APPLICANT ADDRESS <br />CITY <br />STATE <br />ZIP CODE <br />2525 MAIN STREET <br />SANTA ANA <br />CA <br />92706 <br />PROJECT APPLICANT (Chac)r appropriate box) <br />❑ Local Puhllo Agency ❑ School District Other Special District ❑ slate Agency Q Private Entity <br />CHECK APPLICABLE FEES: <br />3,271.00 <br />M Environmental Impact Report (EIR) <br />$3,271.00 $ <br />❑ Mitigated/Negative Declaratlon (MNO)(ND) <br />$2.354,70 $ _ 0.00 <br />❑ Certified Regulatory Program document (CRP) <br />$1.112.00 $ 0.00 <br />E1 Exempt from fee <br />❑ Notice of Exemplion (attach) <br />0 CDFW No Effect Determination (attach) <br />❑ Fee previously paid (altach previously Issued cash recolpt copy) <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ - 0.00 <br />Q County dooumonlaryhandling fee $ 50.00 <br />0 Other $ <br />PAYMENT METHOD: <br />❑ Cash El Credit © Chook ❑ Other TOTALRECEIVED $ 3,321.p0 <br />AGENCY <br />{ <br />f ` "f� `,' � DIANNA VELASQUEZ, DEPUTY CLERK <br />ORIGINAL- PROJECT APPLICANT CORY-CWFWW8 COPY. LFAO AGENCY COPY - COUNTY CLERK DNJ 761.Go(Nov 2015UH) <br />