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<br />~ <br /> <br />COUNTY <br />Cav <br /> <br /> <br />FEDERAL EM NCY MANAGEMENT AGENCV <br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I - APPLICANT INFORMATION <br />NAME OF LOCAL CONTACT <br /> <br /> <br />.... <br /> <br />J> <br /> <br /> <br />PHONE NO. <br /> <br />2-4-'il'-7zJ'l., <br /> <br />KEY FOR DAMAGE CATEGORY (U,e appropritJte Jette,..'" the "cate,or)''' block. below) <br /> <br />a_ DEBRIS REMOVAL <br />b. PROTECTIVE MEASURES <br />c. ROADS AND BAIDGES <br /> <br />d. WATER CONTROL FACILITieS <br />.. PUBLIC BUILDINGS <br />f. PUBLIC UTILITIES <br /> <br />g. FACILITIES UNDER CONSTAUCTION <br />h. PRIVATE NON-PROFIT <br />i. PUBLIC RECREATION <br /> <br />SITE CATE- LOCATION (Uu map location, addu", etc,) <br />NO. GORY <br /> <br />I <br /> <br />c <br /> <br />.z-1() <br /> <br />E. C Jv <br /> <br />of- <br /> <br />/v'€--v <br /> <br />G ..tl <br /> <br /> <br />- /0 ~ <br /> <br />DESCAIPTION OF DAMAGE <br /> <br />BQnJ...- <br /> <br />0Yo~Jov> <br /> <br />/;, to :z: - 7 0 <br /> <br />~ou I d-e..r <br /> <br />IMPACT: <br /> <br />% COMPLETE <br /> <br />COST ESTIMATE <br /> <br />lJ?/nl"""'.... / <br />SITE CATE- LOCATION (U.e map location, iJddreu, de,) <br />NO. GORY <br /> <br />() <br /> <br />J2.<J <br /> <br />00 <br /> <br />13 I- 70 <br />DESCRIPTION OF DAMAGE <br /> <br />Ii"'" <br /> <br /> <br />Co:> 'fl e.. <br /> <br />fr7 <br /> <br />/0 3 - /0 <t <br /> <br />IMPACT: <br /> <br />% COMPLETE <br /> <br />COST ESTIMATE <br /> <br />/Y1/'1'''-'''' <br />SITE CATE. LOCATION (Ua. map location, oddreaa, dc.) <br />NO. GORY <br /> <br />It) 0 <br /> <br />I ~O o. <br /> <br />2. <br /> <br />c <br /> <br />lJs <br />, <br /> <br />b <br /> <br />/J-, <br /> <br />c;: e..- ..... cod. <br /> <br />C4h <br /> <br /> <br />123- 13 <br /> <br />-j. <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />Ba", h- <br /> <br />ero:5J'on <br /> <br />J'n <br /> <br />'to <br /> <br />rCJ4cJ'v"iY <br /> <br />IMPACT: <br /> <br />% COMPLETE <br /> <br />COST ESTIMATE <br /> <br />SITE CATE- LOCATION (Uae map location, addreaa, etc.) <br />NO. GORY <br /> <br /> <br />111:$ e-J. <br /> <br />6 -t <br /> <br />/1// <br /> <br /> <br />() <br /> <br />30 "0 0 <br /> <br />2 <br /> <br />8. <br /> <br />Us <br /> <br />~ <br /> <br />/'1 <br /> <br /> <br />Cc:;.", ~"., <br /> <br />#11" <br /> <br />/~.3- 130-:' <br /> <br />DESCRIPTION OF DAMAGE <br /> <br /> <br />IMPACT: % COMPLETE COST ESTIMATE <br />r<<~J(. re:;t I,d; 100 <j(!) 00 0 <br /> PHONE NO. <br /> OFFICE I HOME <br /> ?~#_ /0 ,0 <br />