Exhibit G Notice of Exemption
Recording Requested
When Recorded Mail To:
LAFCO of Mendocino County
200 S. School St. Suite 2
Ukiah, CA 95482
Contact: Frank McMichael
707 463 4470
| Project Title and LAFCO No. |
| Project Location: |
| Assessor’s Parcel Numbers: |
| Description of Project: |
Name of Public Agency Approving the Project: LAFCO of Mendocino County
Name of Person or Agency Carrying out the Project: ______________________________
Exempt Status:
| □ Ministerial Sections[21080(b)] [15268] | □ Declared Emergency Sections [21090(b)(3)][15269(a)] |
| □ Emergency Project Sections [21080(b)(4)][15269(b)] | □ General Rules Sections [15061(b)(3) |
| □ Categorical Exemption Type ________Section No.________ | □ Statutory Exemption Code No.____________ |
| □ Other Code No._____________ Reasons why the project is exempt or does not require further environmental review: ______________________________________________________________________ | |
| Copy To: □ State of California Office of Planning and Research 400 Tenth St. Room 121 Sacramento, California | □ County of Mendocino Recorder-Clerk 501 Low Gap Rd. Ukiah, CA 95482 |
By: ______________________________________________________
Frank McMichael, Environmental Coordinator