HomeMy WebLinkAboutDRC2010-00229 CUP-Non ConstTurner's Outdoorsman
VendorlD
Name
Payment N umber
J:Check D;-"-
Document Number
CLE004E
CLERK OF THE BOARD -:RVIS-
00042328
4/26/201,
1108269
Invoice Number Date Amount.1 Amount'Paid Discount Net Ambunt,Paid,
CUP FEE SAN MARIN( 4/26/2010 $50.00 $50.00 $0.00 $50.00
C7 a �L-;L-5�
$50.00 $50.00 $0.00 $50.00
State of Cz inia—The Resources Age --
toDEPART NTOFFISHAND&O
2010 E IRONMENTAL FILING FEE CASH RECEIPT 390697
STATE CLEARINGHOUSE #(Ifapplicable)
RUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY
LEADAGENCY DAT
0 J� /'
9,3/10
01W of Pr1r)C1q0 10
COUNTY/STATE AGENCY OF FILING DOCUMENTNUMBER
Gouvrlv) o4 f?'-_vrwr-dIr-)0
PROJECTTITLE
Nvfige,c4 E,)(-ew1P-hDn 0—Cup
PROJECTAPPLICANT-NAME PHONENUMBER L1 I-) —
Cim Of pcky)c�/Jc) CJ611-1') 7--r
PROJECTAPP-OCANTAIDDRESS STATE ZIPCODE I
P'o. t��Fy' �O-::� lop?rol 64; cli -7a c-i
0 Local Public Agency LJ School District LJ Other Special District
Ll State Agency Ll Private Entity
CHEdK APPLICABLE FEES:
J Environmental Impact Report (EIR)
$2,792.25
$
L] Mitigated/Negative Declaration (ND)(MND)
$2,010.25
$
Ll Application Fee Water Diversion (State Water Resources Control Board Only)
$850.00
$
L] Projects Subject to Ce�rtified Regulatory Proigrams (CRP)
$949.50
$
County Administrative Fee
$5o.00
s _5 0 (D 0
Project that is exempt from fees
'P-,
of Exemption
A
—,—Notice
J DFG No Effect Determination (Form Attached)
Q Other
$
PAYMENT METHOD:
Cash Q/Credit Check L] Other
TOTALRECEIVED
$ 5 D
SIGNATURE
E
X
-Ty
C
WHfirE- XOJECTAPPk/ICANT YELLOWZf'��'/ASB PINK -LEAD AGENCY,
GOLDEN ROD - COUNTY CLERK FG753.5a (Rev. 11/09)