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0State of California - Department of Fish and Wildlife <br />2025 ENVIRONMENTAL DOCUMENT FILING <br />CASH RECEIPT <br />FEE <br />DFW 753.5a (REV. 01/01/25) Previously DFG 753.5a <br />_ <br />Print _ � Save - <br />RECEIPT NUMBER: <br />30-0811812025-0612 <br />STATE CLEARINGHOUSE NUMBER (if applicable) <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY. <br />LEADAGENCY <br />LEAD AGENCY EMAIL <br />DATE <br />CM OF SANTA ANA <br />0811812025 <br />COUNTYISTATE AGENCY OF FILING <br />DOCUMENT NUMBER <br />ORANGE COUNTY <br />202585000778 <br />PROJECT TITLE <br />KRAEMER BLVD/ GLASSELL ST/ GRAND AVE COR <br />PROJECT APPLICANT NAME <br />PROJECT APPLICANT EMAIL <br />PHONE NUMBER <br />CITY OF SANTA ANA <br />(714) 647-5690 <br />PROJECT APPLICANT ADDRESS <br />CITY <br />STATE <br />ZIP CODE <br />20 CIVIC CENTER PLAZA (M-36) <br />SANTA ANA <br />CA <br />92702 <br />PROJECT APPLICANT (Check appropriate box) <br />QX Local Public Agency ❑ School District ❑ Other Special District <br />❑ State ,agency <br />[] Private Entity <br />CHECK APPLICABLY FEES: <br />❑ Environmental impact Report (EIR) <br />$ 4,123.50 $ <br />❑ Mitigated/Negative Declaration (MND)(ND) <br />$ 2,968.75 $ <br />❑ Certified Regulatory Program (CRP) document - payment due directly to CDFW <br />$ 1,401.75 $ <br />p Exempt from fee <br />10 Notice of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />❑ Fee previously paid (attach previously issued cash receipt oopy) <br />© Water Right Application or Petition Fee (Stale Water Resources Control Board only) <br />$ 850.00 $ <br />❑ County documentary handling fee <br />$ 50,00 $ <br />❑ Other <br />$ <br />PAYMENT METHOD: <br />❑ Cash ❑ Credit ❑ Check ❑ Other TOTAL RECEIVED $ <br />0.00 <br />SIGNATURE <br />AGENCY OF FILING PRINTED <br />NAME AND TITLE <br />X <br />Sarah Luna Deputy Clerk <br />ORIGINAL -PROJECT APPLICANT COPY•CDFWrASB COPY -LEAD AGENCY DOPY -COUNTY CLERK DFW753.5a(Rev.01=0251 <br />