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<br />t' <br /> <br />/ <br /> <br /> /,-t"""" , <br /> // SHEET --C2 OF Z SHEETS <br />/ FEDERAL EMERGENCY MANAGEMENT AGENCV DATE <br /> PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE ?--27-M- <br /> PART I - APPLICANT INFORMATION <br />COUNTY I NAME OF APPLICANT I NAME OF LOCAL CONTACT PHONE NO. <br />~v/;i ~k# C::;;""",y ~d7~" P'~.$ 879-083/ <br /> PART II SITE INFORMATION" <br />KEY FOA DAMAGE CA TEGOAY (V.e approprl4te letten 'n the "cote6ory " bloc". below) <br />a. DEBRIS REMOVAL d. WATER CONTROL FACILITIf:S sa. FACILITIES UNDER CONSTRUCTION <br />b. PROTECTIVE MEASURES eo PUBLIC BUILDINGS h. PRIVATE NON-PROFIT <br />c. ROADS AND BRtQ.GES f. PUBLIC UTILITIES I. PUBLIC RECREATION <br />SITE CATE- LOCATION (U.e ~ location, addn... etc.) <br />NO. GORY <br />.e/ e.. c:J'7 COU4~ ~a/ C; ~ C; n?/k s=h1 tJ/' UtM7 -f'~ .G'~ Co/,r Scw/{ ki ",/' k,Y--?".- ~ <br />DESCRIPTION OF DAMAGE <br />E.x-k5/..... >CPPZ e7/ .Murh a~p~r c7'7c/ W',/7~""// f&..,o.ye.) CdH.sy h/A 76 . <br />drr ab"'ur ~ ../. A,0 ckrJe ~ sk/ Ad I <br />IMPACT: " COMPLETE COST ESTIMATE <br />~t:l/ re-q//;e/ y~. , ~ ~50c0 <br /> ,/ <br />SITE CATE- LOCATION (U.." mop location, addre-. etc.) <br />NO. GORY cJn ~A,y~t7a/ ~ ~ 7/1Wks :MP/h,/ C::;;;UAry. ~a./ z<y <br />zz. c... <br />DESCRIPTION OF DAMAGE <br />~~j~ c&'v&'d c7b",,~r 504r 0/ rt7~ r:fU'/r7 r~1 /----ody,/ q."c/ <br />/rl1..-8-'/, <br />IMPACT: " COMPLETE COST ESTIMATE <br />~t:l/ /""'~'7 C~~ h'~~, 30 $7000 <br /> , <br />SITE CATE- LOCATION (UN rrlGJ' IocGtIon. odd"",, etc.) <br />NO. GORY On U"'.,~ ~tl-/ Z9 t?~ th/A,p ifed., zh /71/~ e.?sr/'uv/?7 &../65 <br />Z!5 c. <br />DESCRIPTION OF DAMAGE <br />74-6 ,/ rIlr=- CM,P C&'/~ h't?sk,::;!""Kr/ /?C!a",Y 6?OH~ /' ~L/ne",r. C?""'" e7/.,/ <br />/?",e O/?d ~e ~'V' /psAr//e,,;(, e.....,ba~ke..?' dl7d jr"'~e ,-p",/ re..6u//r, <br />IMPACT: " COMPLETE COST ESTIMATE <br />/:'t?t2/7-en>/".,..a..--y c~.re{ /1t7w~, /00 ~q 000 <br />SITE CATE- LOCATION (UIe map location, addre." etc.) <br />NO. GORY Ch u.u","" ~(7ac/ 7~ ov-er Y'l,ccYL "."e r.>7,k- '7PO~d/G07f~e/ 7?4, <br />L-f' C!- <br />DESCRIPTION OF DAMAGE , <br />lkt:? 7/x'?' C.qp CU/...er.6 kt!Ye "fYH~/f' ~/,,~iW~"~ 0"71 t7/7e. ~ <br />b8- /Pif/7d 30 /"ce~ c/_'7~ ;t/b", ,rjJ'/;";/ #C4h"". .P,/....~~ b"U~ ~ bOo?k IS ""b",,.,-r <br />3"" /ee/, L-"?~ <,~.6""""~"'e-~ 4"""/ f~..-e/ ,...""../ h!!d rr~Le-e-.r. <br />IMPACT: % COMPLETE COST ESTIMATE <br />,fbacl/s cbs~/,..~y ""ho'~S QLe-<?/~~r'k ~....k 0 ~Z~ <br /> / <br />NAME OF INSPECTOR ~ AGENCY PHONE NO, <br />J'''7<t#/a/? AI. . 'j?vy F#/v'A,/ Ce7/--.,aG a;"/s,i>-., OFFICE ~-:::~3~1 HOME ~~~~ <br />n~~ ,L'?".{, /',"/-~~~/. /7__ ,.< /4. ,/c /J/ c./ ::? <br />