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<br />" <br /> <br />OMS No. 3067.0033 <br />FEMA DECLARATION NUMBER <br />bRCo <br />OATEA- <br /> <br />PROJECT L1CATION NUMBER <br />OZr;'- 00 <br />The purpose of this form is to list the damages to property and facilities so that inspectors may be appropriately assigned for a <br />formal survey. <br /> <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NOTICE OF INTEREST <br />IN APPLYING FOR FEDERAL DISASTER ASSISTANCE <br /> <br /> <br />REQUIREMENTS FOR FEDERAL DAMAGE SURVEYS <br /> <br />A. DEBRIS CLEARANCE <br /> <br />F. PUBLIC UTILITY SYSTEMS <br /> <br />tlO On Public Roads & Streets including ROW <br /> <br />0(] Other Public Property <br /> <br />o Private Property (When undertaken by <br />local Government forces) <br /> <br />o Structure Demolition <br /> <br />.0 Water <br /> <br />o Storm Drainage <br /> <br />o Sanitary Sewerage <br />o Other' <br /> <br />o Light/Power <br /> <br />B. PROTECTIVE MEASURES <br />f-; r$ Life and Safety 0 Health <br />~ Property ~ Slream/Drainage Channels <br /> <br />G. FACILITIES UNDER CONSTRUCTION <br /> <br />o Public Facilities' <br /> <br />o Private Non.Profit Facilities.. <br /> <br />C. ROAD SYSTEMS <br /> <br />H. PRIVATE NON-PROFIT FACILITIES" <br /> <br />J:0 Roads <br />f;! :A-' ~ Bridges <br />o Traffic Control <br /> <br />o Streets <br /> <br />o Educational <br /> <br />o Medical <br /> <br />~ Culverts <br />o Other' <br /> <br />o Emergency <br /> <br />o Custodial Care <br /> <br />o Utility <br /> <br />D. WATER CONTROL FACILITIES <br /> <br />I. OTHER (Not in above categories) <br /> <br />o Dikes <br /> <br />o Levees <br /> <br />o Dams <br /> <br />o Park Facilities <br /> <br />o Drainage Channels 0 Irrigation Works <br /> <br />o Recreational Facilities <br /> <br />E. PUBLIC BUILDINGS AND EQUIPMENT <br /> <br />o Public Buildings <br /> <br />o Supplies or inventory <br />o Vehicles or other equipment <br />o Transportation Systems <br />o Higher Education Facilities <br /> <br />.. Indicate type of facility. <br />** Provide name of the facility and of private non-profit owner. <br /> <br /> <br />T~TE/ 6 <br /> <br />(l,oo~ b./ /J A-ro <br /> <br />FEMA Form 90-49, MAY 82 <br /> <br />REPLACES EDITION OF MAR 80, WHICH IS OBSOLETE. <br />