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State of California - Department of Fish and Wildlife <br />2025 ENVIRONMENTAL DOCUMENT PILING FEE <br />CASH RECEIPT <br />DFW 753.5a (REV. 01101125) Previously DFG 753.5a - <br />U-7--J <br />P_nnt I Save <br />RECEIPT NUMBER: <br />30-04130/2025-0309 <br />STATE CLEARINGHOUSE NUMBER (liapplfcable) <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. <br />LEADAGENCY LEAD AGENCY EMAIL DATE <br />CITY OF SANTA ANA 04/30/2025 <br />COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER <br />ORANGE COUNTY 202565000394 <br />PROJECT TITLE <br />25-6013 MCFADDEN AVENUE TSPP <br />PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PRONE NUMBER <br />CITY OF SANTA ANA, PUBLIC WORKS AGENCY (714) 647-5033 <br />PROJECT APPLICANTADDRESS CITY STATE ZIP CODE <br />20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702 <br />PROJECT APPLICANT {Check appropriate box) <br />❑K Local Public Agency ❑ School District ❑ Other Special District ❑ State Agency ❑ Private Entity <br />CHECK APPLICABLE FEES: <br />❑ Environmental Impact Report (EIR) $ 4,123.50 $ <br />❑ Mitigated/Negative Declaration (MND)(ND) $ 2,968.75 $ <br />❑ Certified Regulatory Program (CRP) document - payment. due directly to CDFW $ 1,401.75 $ <br />M Exempt from fee <br />EI Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />❑ Fee previously paid (attach previously issued cash receipt copy) <br />❑ Water Right Application or Petition Fee (State Water Resources Control Board only) $ 850.00 $ <br />❑ County documentary handling fee $ 50.00 $ <br />❑ Other $ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit ❑ Check ❑ Other TOTAL RECEIVED $ 0.00 <br />SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE <br />X Melissa Gomez Deputy Clerk <br />ORIGINAL -PROJECT APPLICANT COPY -CDFWIASD COPY - LEAD AGENCY COPY - COUNTYCLrRK DFW753.5ajR9Y.M12025} <br />