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State of California• Department of Fish and Wildlife <br />2024 ENVIRONMENTAL DOCUMENT FILING Fl':E CASH RECEIPT <br />DFW 753.5a (REV. 01101/23) Previously DFG 753.Sa <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. LEAD AGENCY LEADAGENCY EMAIL <br />PUBLIC WORKS AGENCY <br />COUNTY/STATE AGENCY OF FILING <br />jorange 18 <br />PROJECT TITLE <br />ALLEY IMPROVEMENT PROGRAM (FY23-24) <br />I[ Print i llsf ovorll I Save <br />RECEIPT NUMBER: <br />30 -02/29/2024 -0136 <br />STATE CLEARINGHOUSE NUMBER /II applicable) <br />DATE <br />02/29/2024 <br />DOCUMENT NUMBER <br />202485000138 <br />PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER <br />(714 )647-5665 CITY OF SANTA ANA, PUBLIC WORKS AGENCY <br />PROJECT APPLICANT ADDRESS <br />20 CIVIC CENTER PLAZA M-36 <br />PROJECT APPLICANT (Check appropriate box) <br />[;;J Local Public Agency D School Distrtct <br />CHECK APPLICABLE FEES: D Environmental Impact Report (EIR) <br />D Mitigated/Negative Declaration (MND)(ND) <br />CITY <br />SANTAANA <br />D Other Special District <br />D Cer1111ed Regulatory Program (CRP) document -payment due �lracUy to CDFW <br />0 Exempt from fee <br />0 Notice of Exemption (attach)D CDFW No Effect DetennlnaUon (attach) <br />D Fee previously paid (allaoh provlously Issued cash receipt copy) <br />D Water Right ApplloaUon or Pelillon Feo (State Water Resources Control Board only) <br />D County documentary handling lee D Other <br />PAYMENT METHOD: <br />STATE <br />CA <br />ZIP CODE <br />92702 <br />D State Agency D Privale Entity <br />$4,051.25 <br />$2,916.75 <br />$1,377.25 <br />$ 0.00 ---------- <br />$ 0.00 ---------- <br />$ -------�o=.o�o <br />$850.00 $ 0.00 <br />$ <br />$ <br />D Cash D Credit D Chock D other TOT AL RECEIVED $ 0.00 <br />SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE <br />X CARINA HERRERA, DEPUTY <br />ORIGINAl.•PROJECT APPI-/CANT COPY -CDFW/.ASB COPY -LEAD AGEN-CY COPY-COUNTYCLERK DFW 7.53.Sa (Rev. 01/01/2023) <br />EXHIBIT 5 <br />  <br />  <br />City Council 21 – 14 11/19/2024