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<br /> SHEET..z OF 7 SHEETS
<br /> FEDERAL EMERGENCY MANAGEMENT AGENCY DATE
<br /> PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE c;,.-<!?~-84 .
<br /> PART I - APPLICANT INFORMATION
<br />COUNTY I NAME OF APPLICANT INAME OF LOCAL CONTACT PHONE NO.
<br />~~H ~V/r'- &w~N vb....,.s PP~<?A..s 879-0&.31
<br /> PART II - SITE INFORMATlOilr
<br />KEY FOR DAMAGE CATEGORY (U'I! appropriGte Zetfe,.. In the "catelory" blQCIt. below)
<br />e. DEBRIS REMOVAL d. WATER CONTROL. FACILITIES g. FACILITIES UNDER CONSTRUCTION
<br />b. PROTECTIVE MEASURES e. PUBLIC BUILDINGS h. PRIVATE NON-PROFIT
<br />c. ROADS AND BRIDGES f. PUBLIC UTILITlES I. PUBLIC RECREATION
<br />SITE CATE- LOCATION (U,e map location. addre.., etc.)
<br />NO. GORY ~_/~ ~p/~ ""/ ~ s. --YC:;.
<br />!:5 C- 04 a""",;j/ ~'""./ .&.!3f.
<br />DESCRIPTION OF DAMAGE
<br />6...-k.."s/ve- s=,y,..-~ c?/ /7(9,..-/17 q~~r_e",t ,","'''/''dYk'&?#" ~ '&'SS ""/ ~a," ~
<br />?/kc?-? F/er- #Z (L'"q'~ "'''''''-/';'C''-?'/,) (7/ ~/ b'-'/<:fe. h/~/C/7/:S /7~~~ "'4"./
<br />2-9'" fie.?' .k/~'
<br />IMPACT: " COMP LE TE COST ESTIMATE
<br />,f'a:?/ renM'r/7e./ r8'7. /0 ~~a?o
<br /> ...
<br />SITE CATE- L.OCATION (UM map location, addre.., dc.)
<br />NO. GORY
<br />c; C- eo/? cAw""" A'o.,..l /7~ .5 /no'/eS ~../ Mh~r.
<br />DESCRIPTION OF DAMAGE
<br />E~k...:zs/ve- SC'V:;? "'/ #y.-//s ~ <2~nmMh ~ sk/ ~Ncj;-e. W"~/C';' /$ ~3~r/7
<br />CT~ L"O k/.-..-/ ..,.
<br /> \
<br />IMPACT: " COMPL.ETE COST ESTIMATE
<br />~dd""e~/~/ r~. /00 ;e1Z0=
<br />SITE CATE- L.OCATION (UN map location, addreu, dc.)
<br />NO. GORY 0/7 Ca.<?.y ,f'()(?q' /7~ / /n/A.- ~...~ (7/ U"s: ~.
<br />7 C.
<br />DESCRIPTION OF DAMAGE
<br />L/r/ 5t'..~ ,,/, IrYW<2/h 4"'/ ~.#,../~Ao ,..> ~e/ #n;fe k)Mh /:S 59 ~/ /7
<br />",,,,,/ ?'? ..4 ."dnle. .5/~"""r 1//4>//"''/
<br />IMPACT: % COMPLETE COST eSTIMATE
<br /> ,.{}adrem<>-,;,e/ ren. /00 ~5=o
<br /> ,
<br />SITE CATE- LOCATION (U.e map location, addre.., dc.)
<br />NO. GORY / ~ fr7/~s I?c..-rh./S;6-1e .;ydJV"',Y /31.
<br />8 C- VI? U<<"''l RtP.:z./ /LI/
<br />DESCRIPTION OF DAMAGE
<br /> Ne.0dn? .sC(?~ d/ ,l/7M'//s- <M"/ "JP/,,.,~des h S-/W ~~/~e o<-./h/cA /5 /2.r&"'/
<br />~ P4c/ .1Y ~ ,/0//0.
<br />IMPACT: " COMPLETE COST ESTIMATE
<br />.--fbac/ reh;l:T/he/ ren. ..50 ~q<7CO
<br />NAME OF INSPECTOR AGENCY PHONE NO.
<br />....h'7'utk~ AI. ~uy r#/t/A (ph~,,*, 'O...;..-.....5-/e- OFFICE ~#4".38, HOME 9~z/
<br /> /
<br /> ~_ / 0/ /~A-~ ,.,0 DF'/ d/ dys: .U."?".8 I9z7"- SC'/O P';c>4-:3?79
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