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<br />--- <br /> <br />~~r- <br /> <br />"orm ~roved <br />OM. No.'" 3067-0033 <br /> <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NOTICE OF INTEREST <br />IN APPLYING FOR FEDERAL DISASTER ASSISTANCE <br /> <br /> <br />PAW L1CATI <br />~6/- 09. <br />The purpose of this form is to list the d.",- to property .nd OOliti.. so that inspectors m.v be .pproprietely essigned for . <br />form.IIUI'VlIY. <br /> <br />REQUIREMENTS FOR FEDERAL DAMAGE SURVEYS <br /> <br />A. DEBRIS CLEARANCE <br /> <br />o On Public Roods '" StJeets including ROW <br /> <br />o Other Public Property <br /> <br />o Private Property (Whm undeTttlken by <br />local Go~emment forr:es) <br /> <br />o Structure Demolition <br /> <br />F, PVBUC tmUIY SYSTEMS <br /> <br />o W.ter <br /> <br />o Storm Drainege <br /> <br />o Sanitary Sewerage <br />o Other. <br /> <br />o Ugbt/power <br /> <br />B, PROTECTIVE MEASURES <br />? Ufe and Safety 0 Health <br />o Property 0 Streern/Drainage Channels <br /> <br />G. FAClurIES UNDER CONSTRUCTION <br />o Public Fecilities. <br /> <br />o Private Non,Profit F.ciliti.... <br /> <br />C. ROAD SYSTEMS <br />r,lrtJ Roads <br />pa Bridges <br /> <br />H, PRIVATE NON-PROFIT FACILITIES" <br /> <br />Q!I Streets <br />DO Culverts <br /> <br />o Educational <br /> <br />o Medical <br /> <br />o Emergency <br /> <br />o Custodial Care <br /> <br />o Traffic Control <br /> <br />o Other. <br /> <br />o Utility <br /> <br />D. WATERCONTROLFACIlJTIES <br />~ ~ Dikes 0 Levees 0 Dams <br />/ >l' Drainage Channels 0 Irrigation Works <br />E, PUBUC BUILDINGS AND EQUD'MENT <br />o Public Buildings <br /> <br />L OTHER (Not in above Ctltegorie:;) <br />o Park Facilities <br /> <br />o Recreational Facilities <br /> <br />o Supplies or inventory <br />o Vehicles or other equipment <br />o Transportation Systems <br />o Higher Education Fecilities <br /> <br />~ <br />Tile n>wAl (I p r-: r;e I ~ M ~ 8~ <br />Ih;f)ez:; 70 0UNtV/$ oAf UV(l.)'nf'S <br />ft.fPu cA-TtO,.j ,F ,.Jc ro 111"./ Wf'.JkK- <br />.,.- () r;, <br /> <br /> <br />. Indicate type of facitity, <br />.. ProrJide name of the facility a.nd of private non-profit owner. <br /> <br /> <br /> <br /> <br />-iJ <br />