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Notice of Exemption ASSESSOR RECORDER AppendixE <br /> GQWU'4:'-' C L UX <br /> To: ❑ Office of Planning and Research m:(Public Agency) L �vwtrov��nneui�a.� <br /> 1400 Tenth Street,Room 1@14 DEC 14 PM 3: rT 3 0 Weir- Ave <br /> Sacramento,CA 95814 V J <br /> 'A'dreWA <br /> J ri a <br /> ® County Clerk <br /> G s°f v E UT <br /> Y [ � ����D <br /> CA 9520 JAN 3 12005 <br /> Project Title: 40 f F <br /> ENVIRONMENT HEALTH <br /> ERViCES <br /> Project Location-Specific: A /� r r• ! <br /> 70 S 1414c.fti-17�iu& <br /> Project Location-City: �i aU/ Project Location-County: Sgr� .�as tiJdI4 <br /> Description of Nature,Purpose,and Beneficiaries of Project: <br /> laekg5 a4�;/ <br /> Name of Public Agency Approving Project: <br /> Name of Person or Agency Carrying Out Project: <br /> Exempt Status: (check one) <br /> ❑Ministerial(Sec.21080(b)(1); 15268); <br /> ❑Declared Emergency(Sec.21080(b)(3); 15269(a)); <br /> ❑Emergency Project(Sec.21080(b)(4); 15269(b)(c)); <br /> ®Categorical Exemption.State type and section number: rA�_ �/ <br /> ❑Statutory Exemptions.State code number: ,9 A / <br /> Reasons why project Is exempt: Sir 4 eC Ga xi n of /' R %tH9e &)±i✓IQ1'lt�rt, <br /> Lead Agency �.--- <br /> Contact Person: i4siv>vud/r75Area Code/TelephoneBxtensio <br /> If filed by applicant: <br /> 1.Attach certified document of exemption finding. <br /> 2.Has a Notice of Exemption been filed by the public agency approving the project? ❑Yes ❑No <br /> Signature; Date:A- !3 O Title: <br /> PSied by Lead Agency Date received for filing at OPR: <br /> ❑Signed by Applicant <br /> Revised October 1989 <br /> APPENDICES • 151 V <br /> XIN <br />