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<br />FEDERAL EMERGENCY MANAGEMENT AGENCY
<br />PRELIMINARY DAMAGE ASSESSMENT SUMMARY
<br />PART I - APPLICANT INFORMATION
<br />C~NTY " INA.ME OF AP~L1CANT /J I NAME OF LO,CAL CONTACT
<br />:)(h.. t1/(j LI E II SO... M'</l't' J (' "lJ.-M'7 bc'~" i3 L'C ~ (....
<br />POPULATION ITOTAL BUDGET , MAINTENANCE BUDGET
<br />.~ I t;~;) I Approved $ Balance $ Approved $ Balance $
<br />
<br />DATE J J_
<br />G I Z <:; Ie 4
<br />
<br />PHONE NO.
<br />7z639-sl
<br />DATE FY BEGINS
<br />
<br />CATE.
<br />GORY
<br />
<br />NO. OF
<br />SITES
<br />
<br />PART II _ COST ESTIMATE.SUMMARY (COMPLETE SITE ESTI,HATE BEFORE SUMMARIZING BELOW)
<br />POTENTIAL LOCAL FUNDS FOR RECOVERY
<br />
<br />TYPES OF DAMAGE
<br />
<br />COST ESTIMATE
<br />
<br />FUND/ACCOUNT
<br />
<br />AVAILABLE BALANCE
<br />
<br />C.-
<br />
<br />4
<br />
<br />131"J.,( t2f"~;..,,.d L":>c' ~4. c,.:;( 5)
<br /><1-(' Iv,.~.-I- ..Ja.~ "-{),..~<;.) 1"</,<(.(
<br />slJps, rod w,,~lo,j5
<br />
<br />4; 3;:; i ')OCJ
<br />
<br />. ~;Ji ,00 Ii) 'II .....
<br />
<br />PART III - DISASTER IMPACTS (USE SEPARATE SHEETS IF NECESSARY)
<br />
<br />TOTAL
<br />
<br />A. GENERAL IMPACT
<br />1. Identify and describe damages which constitute a health and/or safety hazard to the general public.
<br />/'1;/lor
<br />
<br />2. Population adversely affected directly or indirectly by the los5 of public facilities or damages.
<br />B Iv 10 /,O-'rc,k"s- t....>e-l-i?;j- j{J(4'fetf/ a<(PfS -h r<L#C-.t (.-,../s ..;:;.... '/' .;~> 'f <~ ~"'tkf
<br />'..L/lC<:"!V."';o'/'e;r.cC Afo ?~'<y/e v~('"r-7,-...,d .'e5;dC-"1(~ i;... U""{'&l.-/llk-p;r,,,-..!r I'c,.dr~
<br />fie'<< .f-c. ." ,- <?<t<
<br />3. What econo~ic activities are adverse":lffected '" the toss of public facilities or damages?
<br />i?r:<I1Lh"''3 f /'e"C/ec<f.'O.Ro..(-
<br />
<br />B. RESPONSE CAPABILITY: Can the applicant respond and recover from the damages quickly and without degradation of public services? Describe.
<br />G(.L~-Iy see<,><.o,llv he Y'ea<..-c/',,,'j aCiE-7i1~:/7 ~{,)/It/ "",,/7,_,/ ~'/ff/Y>.cf
<br />/0 /""rH"a//"o'-'/;'4'/~a;"{k...,a.,,c'f'. C(""c k ')0'1'6 cf;-e/,""r,;n -I/ocdJ..o~'(f,Jl
<br /><'liCaS ~ beeA I"'cicl{',
<br />
<br />C. IMPACT ON PUBLIC SERVICES IF DECLARATION IS NOT MADE: e.g., Deferral of permanent repairs, impact on ongoing services and capital
<br />i~proveme~-is,etc.-- Describe.-'~-~- - --------------
<br />
<br />:L ""/-'cLc!:( ,,jo,,,~/ Ix: /,-<od(Jh'*'.
<br />
<br />'I
<br />Nt'''?' OF i.!'SPECT\fR /i ,0'
<br />G.LA;A ~ ~ (y:.. <-p -
<br />FEMA Fornl90-80. JAN 84
<br />
<br />l;;;;~/l
<br />
<br />PHONE NO'A,,,4~.. '
<br />Z54-~j&
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