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<br />FEDERAL E GENCY MANAGEMENT AGENCY
<br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE
<br />
<br />DATE
<br />6-';)~-8'
<br />
<br />PART I - APPLICANT INFORMATION
<br />NAME OF LOCAL CONTACT
<br />Dp A/ b r.. (../1 S
<br />PART II - SITE INFORMATION
<br />KEY FOR DAMAGE CATEGORY (U.. GPProprlot.lett.,..tn th. "CGte6o"Y.' blocks b.-low)
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<br />A/
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<br />CO'
<br />
<br />"7
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<br />PHONE NO.
<br />.lS-J~~~
<br />
<br />COUNTY
<br />
<br />.. DEBRIS REMOVAL d. WATER CONTROL FACILITIES
<br />b. PROTECTive MEASURES .. PUBLIC BUI1.DINGS,' ,.
<br />c. ROADS AND BRIDGeS f. PUBLIC UTIL'TIES'
<br />SITE CATE- LOCATION (UN mGP location, Gddrcu. etc.) "'-'II"/f. RIVf''''- 1ie1,A 0
<br />NO. G'WY c.~""1< ~"'A /)
<br />Cf c:.
<br />
<br />II- FACILITIES UNDER CONSTRUCTION
<br />h. PRIVATE NON-PROFIT
<br />I. PUBLIC RECREATION
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<br />/7 J / ArlI"-P U/fPS~
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<br />DESCAIPTIONOFDAMAGE q(7t? teJc'JI (9f!: ShC7V/clp~ h.d......,A9Q.. ~1?(/1~ RApicj f?~-.AJ;r)9
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<br />" COMPLETE
<br />13 - ,t::'c:>
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<br />COST ESTIMATE
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<br />SITE eATE-
<br />N,a. GO&Y
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<br />D~CRIPTION O~'DAMAGE
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<br />LOCATION (UN mGP IOCGtion. addreu. etc.)
<br />J..V<v"Ie. R,'v,"1e R.""Ab 16,
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<br />!i OESCRIPTIONOFOAMAGE",SS O'r H,"'VV FlIp"''''' /)ql' rc K,;'~ R.ol'ld .....4r,.~" C'e>ns,_
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<br />SITE CATE- LOCATION (UM mq~... CIddNu, de.) ,
<br />NO. GORY lsR;d9-PC?VP/e /C'(?<JIt!';n~ r,.pKJ?,,,,,J/C "'.... ~i?"tl
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<br />" COMPLETE
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<br />COST eSTIMATE
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<br />COST ESTIMATE
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<br />;250" ~
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<br />DESCRIPTION OF DAMAGE .J..,SS of! I:if "''''f' -' c""s/"f P.v~"'nK...,p"j- t".c/L,,"'...,S ;tJ.-v l> I.,S5
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<br />IMPACT:
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<br />ARt#A c-i.-vb l'R BIt-,dyp
<br />/ ~ <"7" y.,.c~!
<br />AGENCY
<br />F If" <-V ,d
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<br />< /) II? /'I
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<br />
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<br />"COMPLETE COST ESTIMATE
<br />
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<br />
<br />NAME OF INSPECTOR
<br />R~..... Sp.,.o>.c Co..
<br />
<br />
<br />L.
<br />
<br />#10
<br />
<br />-,I!;
<br />
<br />PHONE NO.
<br />OFFICE ...,
<br />:>7"7- {,"t,.....
<br />/
<br />
<br />
<br />eMA Form _1. JAN 84
<br />
<br />GPO 80".760
<br />
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