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<br />.-. <br /> <br /> <br />SHEETS <br /> <br />/ <br /> <br /> <br />FEDERAL E GENCY MANAGEMENT AGENCY <br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I APPLICANT INFORMATION <br />NAME OF LOCAL CON~~CT <br />I roe or oS fr- <br />ART 11- SITE INFORMATION <br />KEY FOR DAMAGE CATEGORY (Va. GPProprlote Id~",'n the "cot.,ory" bloc". below) <br /> <br />-7'Z-/L <br /> <br />.. DEBRIS AEMOVAL <br />b. PROTECTIVE MEASURES <br />c, ROADS AND BRIDGES <br /> <br />d. WATEA CONTROL FACILITIES <br />e. PUBL.IC BUILDINGS <br />f. PUBLIC UTILITIES <br /> <br />~ FACILITIES UNDER CONSTRUCTION <br />h. PRIVATE NON-PROFIT <br />I. PUBLIC AECREATION <br /> <br />SITE CATE. lOCATION (Va. map location, addu.., de.) <br />NO. GORY <br /> <br />It <br /> <br />7:-70 <br /> <br />E~sr <br /> <br />D~ r;: <br /> <br />~v.. <br /> <br />/??f <br /> <br />" <br />/"'"/~ <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />Bo., h- <br /> <br />ero.~'''v> <br /> <br />O? 't- () <br /> <br />R c J.,,/~ <br /> <br />P-el'> Ce, <br /> <br />We?;:; j, e.-d. <br /> <br />o c..> 't-- <br />, <br /> <br />IMPACT: <br /> <br />% COMPLETE <br /> <br />COST ESTIMATE <br /> <br />/7'7//?/n-)- ~ / <br />SITE CATE. LOCATION (Va. map locaUon, addre.., de,) <br />NO. GORY <br /> <br />C> <br /> <br />~o "<>0 <br /> <br />I 6 <br />DESCAIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />% COMPLETE <br /> <br />COST ESTIMATE <br /> <br />/~C> <br /> <br />2700 <br /> <br />SITE CATE. LOCATION (UH mop location, addreu. etc.) <br />NO, GORY <br /> <br />2.. <br /> <br />G <br /> <br />I-70 <br /> <br />ea-:.; <br /> <br />0+ <br /> <br />Wo/c,(J t't <br /> <br />;nF <br /> <br />.6 3 l' <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />SI,J.-e, <br /> <br />de...-hr.....'..' <br /> <br />r"..,d...,c;y <br /> <br />SVy-h,. c.. '€..._ <br /> <br />IMPACT: <br /> <br />'" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />R~" r.r:J,,,, () r:t <br />SITE CATE. LOCATION rU,e map location, addre". etc.} <br />NO. GORY <br /> <br />o <br /> <br />2 ~ 0,0 0 <br />.'. <br /> <br />3 C I-7e <br />DESCRIPTION OF DAMAGE <br /> <br />C- " <br /> <br /> <br />In? /.,~'f. <br /> <br />$J'de. <br /> <br />d..e/~o r.., ,":'/ <br /> <br />rOc;d'-V4 '7 <br /> <br />;;;Vy.f."~e, <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br /> <br />rv~J <br />AGENCY .. / <br />e-Do/7 <br /> <br />o <br /> <br /> <br />000 <br /> <br />PHONE NO. <br />OFFICE <br /> <br />I HOME <br />