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<br />... NOTice 01')
<br />IIIi.APPLVING FORI'~~'
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<br />...arm Appr~ ..
<br />OMB'''O:C 3061-0033
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<br />,.... '. ... . F,PUBUCtrrItt'IYSYSl'EMS ',.'..' .. .
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<br />".'..'..'...'..,;....., '.' ope. '.co.....,... .... ..... . .........,~tarySewllrBp;f".~;,;.:,D..Ligbt/Power
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<br />ql'rivate Property.(~~b)'! ,::~.OOth~~ . .:,.,
<br />. "loctilGoVemment forr:es/
<br />
<br />o Structure Demolition
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<br />^'....'.
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<br />B. .PROTECTIVE~..
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<br />O,UCe and Safety..."..,...la1Jea1th
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<br />. !B'1foperJY~~X>#imge;Owmcla .
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<br />C. R.OADSYSTEMS,.;;;?;i< .".,....
<br />
<br />. . ~,
<br />
<br />. G. FACIUI'IES UNDER CONSTRUCTION .
<br />.'.'. ':, 0 Public FaciIltles.
<br />. 0 Private N~-Profit FaciIlties" '.
<br />.\.~--.- ':':$:
<br />. .- <:'_ --'-. -"::':~;'--"i
<br />..R. PlUvAtttiION-PROFlT FA:CllJTD!S..
<br />
<br />o Roads
<br />o Bridges
<br />o Traffic Control
<br />
<br />. d Streets
<br />o Culverts
<br />
<br />d.Ed~~tionai
<br />o Emergency
<br />
<br />o Medical
<br />
<br />o Custodial Care
<br />
<br />o Other.
<br />
<br />o Utility
<br />
<br />D.WATERCONTROLFACILITiEs. "~i'
<br />~Dikes .~ 0 Dams
<br />o Drainage Channels 0 Irrigation Works
<br />.. E.PUBUC BUILDINGS ANlfEQUIPMBNT
<br />',',"
<br />o Public Buildings "
<br />o Supplies or inventory.
<br />o Vehicles or other equipment
<br />o Transportation8Yatems
<br />o Higher EducatloD Facllltte.
<br />
<br />I. 011IER. (Not in above categrJl'ie!)
<br />o Park Facilities
<br />o Recreational Facilities
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<br />
<br />. Indicate type of facility. .. .c'"
<br />.. Provide Mme of the facility and of prlr1ahl non-profit owner.
<br />NAME OF POLITICAL SUBDIVISION QR ELIGIBLE APPLICANT COUNTY. .
<br />1 Cl1fton Sanitation Dfstrfct No. 2 2 Mesa
<br />BUSINESS ADDRESS ,'.;j;XC'.~;-' ZIP CODE
<br />3222 Hwy 6 & 24 (P~.O~.Box lll()). C1ffto.n.Colo!:,ad() 81S20"
<br />';:::-'~. NAME 'AND'TITLE'OJl""t.OCA ,'0 ," ,~ -,-,'q"
<br />3 Wayne H. Lizer. Prof~ssfona1 Engineer: W H l1zer & Associ:ates
<br />BUSINESS TELEPHONE NUMBER (IndIuM A.... Cob) HOME TELEPHONE NUMBER (Ine'''' ANa COM)
<br />4 (303) 241-1129 (303) 858-9786
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<br />FEMA Fonn IlO<l8. MAY 82
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<br />REPL.ACES ~DITION 011 MAR eo. WHICH IS OBSOLETE.
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