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i <br /> State of California-Department of Fish and Wildlife <br /> 2016 ENVIRONMENTAL FILING FEE CASH RECEIPT <br /> DFW 753.5a (Rev. 12/15/15) Previously DFG 753.5a <br /> RECEIPT NUMBER: <br /> 15 — 03162016 — 15131893 <br /> STATE CLEARINGHOUSE NUMBER(if applicable) <br /> SEE INSTRUCTIONS ON REVERSE.TYPE OR PRINT CLEARLY. <br /> LEAD AGENCY LEAD AGENCY EMAIL DATE <br /> KERN COUNTY PLANNING AND COMMUNITY DEVELOP 3/16/2016 <br /> COUNTY/STATE AGENCY OF FILING DOCUMENT NUMBER <br /> ern 4911 <br /> PROJECT TITLE <br /> (A) GENERAL PLAN AMENDMENT CASE NO. 7, MAP NO.28; (B) CONDITIONAL USE PERMIT CASE NO. 9, MAP NO. 28 <br /> PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER <br /> H.M. HOLLOWAY, INC. (PP16129) (661 )862-8600 <br /> PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE <br /> 2700"M"STREET, SUITE#100 BAKERSFIELD CA 93301 <br /> PROJECT APPLICANT(check appropriate box) <br /> Local Public Agency School District Other Special District State Agency Private Entity <br /> CHECK APPLICABLE FEES: <br /> ❑ Environmental Impact Report(EIR) $3,070.00 $ <br /> x❑ Mitigated/Negative Declaration(MND)(ND) $2,210.25 $ 0.00 <br /> ❑ Certified Regulatory Program document(CRP) $1,043.75 $ 0.00 <br /> ❑ Exempt from fee <br /> ❑ 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 /> x❑ County documentary handling fee $ 50.00 <br /> ❑ Other JV#540869 $ <br /> PAYMENT METHOD: <br /> ❑ Cash ❑ Credit ❑ Check x❑ Other TOTAL RECEIVED $ 50.00 <br /> SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE <br /> X \ E. DEL VILLAR, OSS <br /> ORIGINAL-PROJECT APPLICANT COPY-CDFW/ASB COPY-LEAD AGENCY COPY-COUNTY CLERK DFW 753.5a(Rev.20151215) <br />