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<br />~ <br /> <br />- <br /> <br />FEDERAL EM.ENCY MANAGEMENT AGENCY <br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I - APPLICANT INFORMATION <br />NAME OF LOCAL CONTACT <br /> <br /> <br /> <br />PHONE NO. <br /> <br />Z.<;':i-7~1",," <br /> <br />KEY FOR DAMAGE CATEGORY (UM appr-oprlate Idte",'n the "cate,or)''' blocJr. below) <br /> <br />.. DEBRIS AEMOVAL <br />b. PROTECTIVE MEASURES <br />c. ROADS AND BRIDGES <br /> <br />d. WATER CONTROL FACILITIES <br />.. PUBLIC BUILDINGS <br />f. PUBLIC UTILITIES <br /> <br />Do FACILITIES UNDER CONSTRUCTION <br />h. PRIVATE NON.PROFIT <br />I. PUBLIC RECREATION <br /> <br />SITE CATE. LOCATION (Uu map location, addre.., etc.) <br />NO. GORY <br /> <br />J <br /> <br />c <br /> <br />SH <br /> <br />1~7 <br /> <br />81"1 d. <br /> <br />qP <br /> <br />PQ~ n i <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />Br, d~ e <br /> <br />p,~y <br /> <br />5e- &'lrl~/--?j <br /> <br />c:L t-t.'E.~Y e" h.. 117. <br /> <br />/ <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />"4 c:i <br /> <br />oj OS~~ <br /> <br />q,,? <br /> <br />y(;.,..,qly/ S <br /> <br />cjp~~ <br /> <br />() <br /> <br />2_00 000 <br /> <br />SITE CATE. LOCATION (U.e map location, addreN. etc.) <br />NO. GORY <br /> <br />113 5/1 <br />DESCRIPTION OF DAMAGE <br /> <br />/({7 <br /> <br />13;, J. <br /> <br /> <br />f- <br /> <br />I~cniq, <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />R-o 4 <br />SITE CATE. <br />NO, GORY <br /> <br /> <br />a.-? c:I y <br />LOCATION (UR mop location, addre.., etc.) <br /> <br />q,,n ,) <br /> <br /> <br />00 <br /> <br />33 <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 location, oddre.., de,) <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />NAME;. OF .Jllrr'-SPECTOR ~ <br />4--~€ X he- <br />/' . . <br /> <br />AGENCY <br />CPO ;T <br /> <br />PHONE NO. <br />OFFICE <br /> <br />I HOME <br />