Cal. Code Regs. Tit. 23, div. 3, ch. 27, app B
| TO: | Secretary for Resources | FROM: | ___________________________ | |
| 1416 Ninth Street, Room 1311 | ___________________________ | |||
| Sacramento, CA 95814 | ___________________________ |
SUBJECT: Filing of Notice of Decision in Compliance with Section 21080.5 of the Public Resources Code
___________________________
Project Proponent:
___________________________
Project Title:
___________________________
Contact Person:
______________________________
Telephone No.:
___________________________
Project Location:
___________________________
Project Description:
___________________________
___________________________
This is to advise that the ________________________________________ has made the following determination regarding the above described project:
| The project has been: | ______ approved | |
| ______ disapproved |
Date Received for Filing: ____________________
__________________________________________________
Signature of Person Filing Notice
__________________________________________________
Title
Cal. Code Regs. Tit. 23, div. 3, ch. 27, app B
Note: Authority cited: Section 21082, Public Resources Code. Reference: Division 13, Public Resources Code.