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TO: Office of Planning & Research FROM: Department of Development Services
1400 Tenth Street, Room 121
Sacramento, CA 95814
411 W. Ocean Blvd, 3
rd
Floor
Long Beach, CA 90802
L.A. County Clerk
Environmental Fillings
12400 E. Imperial Hwy., Room 1201
Norwalk, CA 90650
Exemption Number
: __________________
Project Title (Application Number): _________________________________________________________
Project Location – Specific: _______________________________________________________________
Project Location – City/County: City of Long Beach, Los Angeles County, California
Description of Nature, Purpose and Beneficiaries of Project:
Public Agency Approving Project: City of Long Beach, California
Person or Agency Carrying Out Project:
Exempt Status: (Check One)
Ministerial (Sec 21080(b)(1); 15268);
Declared Emergency (Sec 21080(b)(3); 15269(a));
Emergency Project (Sec 21080(b)(4); 15269(b)(c));
Categorical Exemption. State type and section number:
Statutory Exemption. State code number:
Reasons why project is exempt:
Lead Agency
Contact
Person: _____________________________________ Contact Phone: _____________________
Signature: ______________________________ Date:______________ Title:
________________________
CEQA Notice of Exemption
Development Services
Planning Bureau
411 West Ocean Boulevard, 2nd Floor, Long Beach, CA 90802
562.570.6194
click to sign
signature
click to edit
City of Long Beach
411 W. Ocean Blvd., 3rd Floor
Long Beach, CA 90802
Visit us at longbeach.gov/lbds
LongBeachBuilds
This information is available in alternative format by request at 562.570.3807.
For an electronic version of this document. visit our website at longbeach.gov/lbds.
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Completed 13 July 2020

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