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PA2017059State of California Department of Fish and Wildlife2017 ENVIRONMENTAL FILING FEE CAS, DFW 753.5a (Rev. 01/01/17) Previously DFG 753.5a Email3pplicable) SEE INSTRUCTIONS ON REVERSE. TYPE OR

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Form 010117 previously dfg 753 is needed by individuals who are required to report certain financial information to the government.

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