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<br />~ <br /> <br />J <br /> <br /> / SHEET ~ OFB SHEETS <br /> FEDERAL e_ENCY MANAGEMENT AGENCY ~-~ <br /> - '... <br />/r DATE <br /> PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE -~/,,~/ ?<.L. <br /> PART I APPLICANT INFORMATION <br /> COUNTY I C~ i :PPLlC';T I NR~ o~ LOCAL CONTACT PHONE NO. <br /> Me.s. a J)""o't.. Ie, P-e-rS ~ e, 2.4. Ii' -72.1<- <br /> PART 11- SITE INFORMATION <br /> KEY FOR DAMAGE CATEGORY (U.~ appropriate ,..".,., In tIN "CO"lOry" bloc'" below) <br /> .. DEBRIS REMOVAL d. WATER CONTROL FACILITIES g. FACILITIES UNDER CONSTRUCTION <br /> b. PROTECTiVe MEASURES .. PUBLIC BUILDINGS h. PR IV ATE NON-PROF IT <br /> c. ROADS AND BRIDGES f. PUBLIC UTILITIES I. PUBLIC RECREATION <br /> SITE CATE- LOCATION (U.e map Jocatlon. Cldd~.... dc.) <br /> NO. GORY <br /> 3 e- X -70 h7 e S<irt. <br /> DESCRIPTION OF DAMAGE <br /> K /I/'Lr eJ/1.l,~ r t:'~cI. .....4 >' Q., h-). /, ""-"" Ii-.. &-7 t- <br /> IMPACT: % COMPLETE COST ESTIMATE <br /> . <br /> mln Iry7Ci I 20 /~ 0 Q 0 <br /> SITE CATE. LOeA TION (U.e map location, addn!''', de,) <br /> NO, GORY <br /> oS 1> J:- 70 /71 P ~~ t-- <br /> ~ <br /> DESCRIPTION OF DAMAGE <br /> IMPACT: % COMPLETE COST ESTIMATE <br /> mlhl h7q'1 /00 8; 00 0 <br /> SITE CATE. LOCATION (U.e mop location. addrea, dc.) <br /> NO. GORY <br /> DESCRIPTION OF DAMAGE <br /> IMPACT: " COMPLETE COST ESTIMATE <br /> SITE CATE. LOCATION (UM map location, add~.., de.) <br /> NO. GORY <br /> DESCRIPTION OF DAMAGE <br />; <br />; '''PACT: " COMPLETE COST ESTIMATE <br />, ~Clr_~~~ <br /> I AGE~Do rf PHONE NO. <br /> OFFICE I HOME <br />