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<br />/' FEDERAL EMERGENCY MANAGEMENT AGENCY DATE
<br /> PRELIMINARY DAMAGE ASSESSMENT SUMMARY f, 2 7- [5"
<br /> PART I APPLICANT INFORMATION
<br />COUNTY I?AM~'-?I~' ~P~LtCA~T NAME OF LOCAL CONTACT PHON E NO.
<br />~ 1'116- U LL [ji'/ ,). 7Z '0- 3''1:: i
<br /> _')AN " l,if~h L ,', ,~ , ';' . , ,
<br />POPULATION I~OTAL BUDGET MAINTENANCE BUDGET DATE FY BEGINS
<br /> ") ,r.:; ~ Approved~ Balance $ Approved $ Balance $
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<br /> PART II - COST ESTIMATE-SUMMARY (COMPLf:l'R SITE ESTIMATE BEFORE SUAfMAHIZING BELOW'
<br />CATE- NO. OF POTENTIAL LOCAL FUNDS FOR RECOVERY
<br />GORY SITES TYPES OF DAMAGE COST ESTIMATE
<br /> FUND/ACCOUNT AVAILABLE BALANCE
<br /> A (] t'Ct!. R , ( ~ ~ r ~ u'J[" '..... < u"
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<br /> TOTAL ........J.......... \ ........f\I!................ TOTAL
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<br /> PART III - DISASTER IMPACTS (USE SEPARATE SHEETS IF NECESSARY)
<br />A. GENERAL IMPACT
<br />1. Identify and describe damages which constitute a health and/or safety halard to the general public.
<br /> , '1":'.. '. / (,/'t ., {A.J c)!..Ii 0 HJ>'/E _~ .T I ,; It ,A/Cf /J[ P,
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<br /> 2. Population adversely affected directly or indirectly by the loss of public facilities or damages.
<br /> :r"'DI/lIPUAL f t<c'/D!",; III /'TCJ<;,'./TAlI CASIII] WH1('- A~ [ J...QC.A-r ED 01',1 1He C'()4Nt'l
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<br /> 3. What economic activities are adversely affected by the loss of public facilities or damages?
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<br />B. RESPONSE CAPABILITY: Can the applicant respond and recover from the damages quickly and without degradation of public services} Describe.
<br /> Tfte {"C.JNt/ /I/o.J 7/ic / 4)llll)/'--1~c-,~,it .If ,~ I} t."'~, . "O/..J.!"/-.:.' 70 PCI;rVRu ~/C( ~-( ';~I'~'
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<br />C. '-~J:.~(;~T....QN ,~!d~~,lY _S~B"ylQ~~r:... OEc;,~,~Ji6TJ9,l':oLlJ? fIJ..9I_MADE: e.g., Deferral of permanent repairs, impact on ongoing services and capital
<br /> improvements, etc. Describe.
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<br />NAME ~)NS~}CTOJ IAGEN~Y ") ~ PHONE NO.
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<br />FEMA Form 90-So-.-'JAN 84
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