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A,i � �� State ofCantunlla••DonafimentarFisha6aV/64 MM <br /> F5H& = 2019 k tN DFW 53.$ENVIRONMENTAL, <br /> RONO'I 01/fl)PrevousllyyDFG 50 aH Fi.ECEIPT <br /> ,g�. w�Y r15YR. '°' try,moo, . # 9 ! t✓ryji <br /> ECRI TNUMBER <br /> 304,U113 1200 <br /> STATE CLFARINgNOUSE NUMBER tifepp7lcadlep <br /> Etta IN5TF%0C,0._100S ONREVCRSE.T'PPSbR P PINT C{.EAALY,, , N/A <br /> LE.AnAciENCY LEA:0AGENCTEMAIL DATE ..,._.�'. <br /> ORANGE COUNTY'TRANSPORTATION AtJFHOR)TY 92124/2018. <br /> town-ovary AGEr7CYOFFILIAk3 __ DOCUtvI"cM'NuMe@R • <br /> Orange 2G19856Q13OO <br /> F.RQJECTTITLE �.._.........., .,:_ -..._........ ..— <br /> WARNER AVENUE REGIONAL TRAFFIC SIGNAL SY'NCHRONt2ATIbN PROJECT <br /> �....._._,.., .,� .,.. PROJECT ,w ., I'CNEtIELISE.R.• .!?R�.•JkV;G?�?HJ.IS:9�htT.NelPxiS... . .. . . .. . <br /> OCTA /714)560-5741 <br /> PROJEGTAPPI:ICAN'FADURESS OTT - STATE IP COI]E._.._ <br /> 550 Si MA!WST. ORANGE OA 92868 <br /> PIthJEGT APPLICANT(Check PArmprlefe,dak} — <br /> — "'" "`�"'" <br /> J Loc.eI Pubtle Aganey [(Scheel Dl;ulei COIN $peiial Oiat;Ir.t d Slate ArCiCcy EJ PrNpia Entity <br /> CHECK APPLICAULEFoes: - - <br /> a EnNranmer>tai Impact Mort lEig) $3,271.:00 $ 0',00 <br /> 0 Milieeted/NegedveDeclarait'an(MNO)(NUI .63,554.75 9 t)„00 <br /> O CetkVPed RegulaSnry Program obeyer!!(CRP) $1,112:tl5 s .,_.,....,�'�- O,OD <br /> El Eiiampl from fee <br /> I?J Iiintite vFExempuan tenet) <br /> 0 ObPyY En EffGet.7eEUmiinpViin NUM4> <br /> El Fey predleU i(Y paid(allaca tpevioualy Issued cash ratelpl cnpy,! <br /> o WBluc Rtgut Applii aIinn of Polo Fee tSlete Water Reseuretis Cenirel said wily) aB50.CC $ 0.00 <br /> EJ ctauniy tiveirnenlary hnndiing fee 6 0,00 <br /> 0 [Mier g <br /> P4YMSETAIET14004 <br /> • 10 melt .IC credit IC (hack EI Mod TOTAL Rff IVUD S cLop <br /> SIGN TEJREu. 6'N <br /> _ ACCY OFPILING PRINTED N LE „, <br /> AMIq AND TIT ..,.., <br /> X ill. AOL.. ,--- M NADIA AL OBAI DI, DEPUTY*CLERK T� <br /> • <br /> umsvaa;,Pigacr Nxnu,+rhv caer.cDPvelkse cav7.Lon aGeaty COPY.COvarect Nu Prw islsy iterm.orsI2ni <br />