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<br />-..-"- <br /> <br />, <br /> <br />FEDERAL EM.NCY MANAGE....ENT AGENCY <br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I APPliCANT INFORMATION <br />NAME OF LOCAL CONTACT <br /> <br /> <br />SHEETS <br /> <br /> <br />PHONE NO. <br />2-4 ~ -72 I '"L. <br /> <br />PART II-SITE INFORMATION <br />KEY FOR DAMAGE CATEGORY (U_ approprlat. 'dt",,'n tla. "cat.I01"1" blocJu ".Iow' <br /> <br />., DEBRIS REMOVAL <br />b. PROTECTive MEASURES <br />c. ROADS AND BRIDGES <br /> <br />d. WATER CONTROL FACILITIES <br />.. PUBLIC BUILDINGS <br />f. PUBLIC UTILITI~S <br /> <br />g. FACILITIES UNDER CONSTRUCTION <br />h. PRIVATE NON-PROFIT <br />I, PUBLIC RECREATION <br /> <br />SITE CATE. LOCATION (v. map locatio". addn... etc.) <br />NO. GORY <br /> <br />J <br /> <br />Sf! <br /> <br />3/7 <br /> <br />.. ~ ()4d <br /> <br />'Vb <br /> <br /> <br />q <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />/d ncl:;/'d. 'e- <br /> <br />cL...... ~..7 e <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />m InlH7q/ <br />SITE CATE- LOCATION (UN map location, addre... etc.) <br />NO. GORY <br /> <br />.. <br /> <br />... <br /> <br />~ <br /> <br /> <br />- .~- <br />000 <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />SITE CATE- LOCATION (U... map.locotion. oddre.., .tc.) <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />SITE CATE. LOCATION (UN map laeotlan. addn... dc,' <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />NA <br /> <br /> <br />PE')ltR nt:' <br /> <br />AGENCY 1> <br />("'~ 61+ <br /> <br />PHONE NO, <br />OFFICE <br /> <br />I HOME <br />