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State of California-Department of Fish and Wildlife <br /> 2025 ENVIRONMENTAL DOCUMENT FILING FEE <br /> CASH RECEIPT <br /> DFW 753.5a(REV. 01/01125)Previously DFG 753.5a <br /> Print _ € Save _ <br /> RECEIPT NUMBER: <br /> 30-06127/2026-0483 <br /> STATE CLEARINGHOUSE NUMBER(If applicable) <br /> SEE INSTRUCTIONS ON REVERSE.TYPE OR PRINT CLEARLY. <br /> LEAD AGENCY LEAD AGENCY EMAIL DATE <br /> CITY OF SANTA ANA 06/27/2025 <br /> COUNTYISTATE AGENCY OF FILING DOCUMENT NUMBER <br /> ORANGE COUNTY 202585000622 <br /> PROJECT TITLE <br /> MAIN STREET REHABILITATION <br /> PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER <br /> CITY OF SANTA ANA (714)647-5033 <br /> PROJECT APPLICANT ADDRESS CITY STATE ZIPCODE <br /> 20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702 <br /> PROJECT APPLICANT(Check appropriate box) <br /> ❑X Local Public Agency ❑ School District [] Other Special District ❑ State Agency ❑Private Entity <br /> CHECK APPLICABLE FEES: <br /> ❑ Environmental Impact Report(EIR) $ 4,123.50 s <br /> ❑ Mitigated/Negative Declaration(MND)(ND) $ 2,968.75 $ <br /> ❑ Certified Regulatory Program(CRP)document-payment due directly to CDFW $ 1,401.75 $ <br /> IM Exempt from fee <br /> ID Notice of Exemption(attach) <br /> I© 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 /> p 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 Kalci Do Deputy Clerk <br /> ORIGINAL•PROJECT APPLICANT COPY-CDFWIASR COPY-LEAD AGENCY COPY-COUNTY CLERK DFW753.5a(Rev.01012025} <br />