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<br /> ~/ SHEET 7 OF ..z SHEETS
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<br />/ FEDERAL MERGENCY MANAGEMENT AGENCY DATE
<br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE ti.-Z7 -M
<br /> PART 1- APPLICANT INFORMATION
<br />COUNTY I NAME OF APP~ICANT INAME OF LOCAL CONTACT PHONE NO.
<br />~P/T MP#.:::2>""",/y v.?~ U_A:..., 877'-&.9;3/
<br /> PART II SITE INFORMATION
<br />KEY FOR DAMAGE CATEGORY (U_ aPP7'OprlGtelette,.. in the "cate.ory" bloc"'. below)
<br />.. DEBRIS REMOVAL d. WATER CONTROL FACILITieS g, FACILITIES UNDER CONSTRUCTION
<br />b. PROTECTIVE ME A$URES .0 PUBLIC BUILDINGS h. PRIVATE NON-PROFIT
<br />c. ROADS AND BRIDGES f. PUBLIC UTILITIES I. PUBLIC RECREATION
<br />SITE CATE- LOCATION (UN map locoHon. czddre... etc.)
<br />NO. GORY c:b UC67'l A"~./ /7/ .? /n/;b ne:v.-'h p/, Mw-l' P/ C7~"l c:;.ed
<br />Z!7 e.
<br />DESCRIPTION OF DAMAGE ,pH: .
<br />M<>7VZ7= st'id= dcn"~5 ,6//P'7;'=-&&5 .s~e/ ~ Cau-.5Z k-s t7/' c:. /,p1is. L / /
<br />ft,.r ..?a? m~/raer a"d' /P=- C;/.5e~ rGe/ ~/h~/ ",,;4Y'A ,..{;. a,k,~,I!'~~/I-k;." "tk,ca: ~
<br />.5hou/c/...- a"'/ &p?k-,~""e,,/ ~~u/;/"I- t?/" /.)(/ r~r /J -:#eacf ~:''7'Y .h- .seH.Ie..~ S'~a6 ~...,;, ,
<br />/}?~/ /70; k_. t:/eo;,u/ 0/ sk~ mq/ena/ P" ,,?,h/i'/.>/O.f, .r,;;t~ _...#;or.> /S d"~ '. .;", ,
<br />IMPACT: , " COMPLETE COST ESTIMATE
<br />/f'M/ ~/"t:l/"/~ ckd" --~. 75 ~/.!J O<:b' '
<br />SITe CATE. LOCATION (UM map location. Gddre... etc.)
<br />NO, GORY
<br />Z~ C cJn Ct7U'47 ~~./ g6 c?/ PP.-;/!ey ~ q~,V~ 9"& h>/~.5 ::;o~4 D/~~-./ .:;~t ~j
<br /> , ,
<br />DESCRIPTION QF DAMAGE . :' I.,,' ,. :"~~>Yp
<br />M..l>/;..e.~/JpJ./CdVJe/.~_e-->?as4vs . <:tcrDSS ~-/.r,e>/G'___~_/;i ~bw. p-~,
<br />~k/e7 'V"JAu/."~Y''''~ ~~ ..~~.uz ~ /7'~e:bzd?'k. 0-<70
<br />.f:,,,a! /~ _/C/{.d'~d ,,~,- ,,~~ ,p/, .6~/::e.5' C...... "4~./ $ePr /"'~d4A/ ~-,.","""'"
<br />~ :7~'Xc.a-."I- d';ka.. q,ky<!- "-DR&! 6~// ep':'A" ~::>/- ~'sec/ ''7 C!PdS/I/;i."A' C'5;1mak h- &em/y
<br />IMPACT: % COMPLETE COST ESTIMATE
<br />,fbd isc.6ser:{ St?cJ/7 ;6 Ie rt:!eyeneq{ 5' $~ t:t:V
<br /> / .
<br />SITE CATE- LOCATION (U.. map location. oddren, etc.) , .' "
<br />NO. GORY a C:,~ /?1?q4 /Z9 67....V 5//Qke.- R/ve;- / pJje 5t?~ t?/ /JY sA~ .k~e- -.
<br /> c.. , ,
<br />Z7
<br />DESCRIPTION OF DAMAGE
<br /> She,! Pu'= .b_/~ "M../ a6kr~~s. ""?/ ~d ,...-,-/ ~//7?ade.s /u....r=..o
<br /> ~ ~,/'khr ,4/-esh~""#r. M e,..../(/ence. ,;~~..> ~,.,;.,s. 8.r/--je "-"'..5
<br /> <1~ /~ 4>7 0<1,,"/ /? her M:/e
<br />IMPACT: % COMPLETE COST EST! MATE
<br />R~.s c;bsed 7? 4J h-~/7/C. CJ $30~ CJOO
<br />SITE CATE. lOCATION (U.e map location. add rea., etc.)
<br />NO, GORY
<br />OESCRIPTION OF DAMAGE
<br />IMPACT: " COMPLETE COST ESTIMATE
<br />NAME OF INSPECA/.' >6 AGENCY PHONE NO.
<br />J~/7u/lHl'7 . Z>~ F//4/A c!oh>n"c4, P/v/5/0# OFFICE~_~~3~1 HOME~.!;.5~~
<br />/'?~/_ P./n /"",, /, _ // /)~ ..L . /' P. ,___ n'~.L~
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