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<br /> , . SHEET 1 OF -2 SHEETS
<br /> FEDERAL EMERGENCY MANAGEMENT AGENCY DATE
<br /> PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE ~-e<;. -8-s/
<br /> PART I - APPLICANT INFORMATION
<br />COUNTY 1 NAME OF APPLICANT I NAME OF L.OCAL CONTACT PHONE NO.
<br />.-ft;",,/r' "f>Ovff LoUd/V/ cz,,,b~,,,c/c, cA-",,~<s Po""q.M.s 1379-015.?!
<br /> PART 11- SITE INFORMATIOl?
<br />KEY FOR DAMAGE CATEGORY (U.e aPPl'OprlGt. lett.... 'n the "category" bloclr. below)
<br />.. 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 UTILITIES I. PUBLIC RECREATION
<br />SITE CATE- LOCATION (U.e map location, addre.., etc.)
<br />NO. GORY
<br />/ C (/" C#VAry-A".,..'/ /Z9/ 22 ",jes ~ t?/ <<s. 4"
<br />DESCRIPTION OF DAMAGE
<br />/W'edH_ :s<<~ny. ",,/, ~~"",~,f",~/ h-?7"'o/-i- d> .>.k:/ ~-~ ~///ch /5- .::0~r/7
<br />a.."q'" .3b ~ ""'''~. .:5/)""", ,,>?;'- W5//"'c/
<br />IMPACT: " COMPLETE COST ESTIMATE
<br /> .if'~""",_/~~, 50 ~~t'Oo
<br />SITE CATE- LOCATION (U.. mcrp locGtIon. add,..., etc.)
<br />NO. GORY
<br />Z C c:::h G~MT), tf"t>>c/ ..33A", 4' h7/k J~ t?/ ?/S,..yGJ
<br />DESCRIPTION OF DAMAGE
<br /> bn,...sn.e SClV''j? "'/ A/tf!r>r /'>'7 A/Q/'&' Q"d <7"<<r~r Jb s/ee/ b'-'ze ,.".~/dJ /$ 9GJ /'~
<br />,2 q"c1 /t,; ~ ,..../04. 4ko ",b;vT ZOo ~/ </,rd"'/ .-"'""",,:/ J,.",s J,.a4 Y "'''''0 ~'''''-::7.300
<br /> C'e/ ",,,s/ ,,/, bN<:ye &",/ ~~y ....."''''~;Y.
<br />IMPACT: " COMPLETE COST ESTIMATE
<br />C/e?=c/;6 ~<:... r~p~q07/-"" 7"""" C:5 $.
<br /> ~O=
<br />SITE CATE- LOCATION (U.. mcr,p location. odd,... ete.)
<br />NO. GORY
<br />3 C Ch C~ ~<2d' /"f2'.F;jusr eos,.",/, 5T'~ h/j.l...."Y /3/
<br />DESCRIPTION OF DAMAGE
<br /> /-I'edw- SC""""''Y "'~ ~"'cks """"/4/7"'a//.> d? .s/~/ bN7e ....-.4,ch /$ 7~/,~
<br /> /'7 -uq' /b /'eer '-','*'. s:.k "''''/ y/s/)""e/
<br />IMPACT: % COMPLETE COST ESTIMATE
<br /> /?Cad' .-"'e/77m;"ec/~~"7. 0 'lis;ooo
<br />SITE CATE- LOCATION (Un map location, addre... ete.)
<br />NO. GORY Ch C<'Wry ~ad /8~c/<<.s/ e~",/ C""v"'j/ Rba4' /8
<br />4- c
<br />DESCRIPTION OF DAMAGE
<br /> /'Iedbr",? sed "'/ ~pcks ""-/ /",,,//.s /'6 sk/ 6N~e ?/~'C~ /$ 55.r:;"'T
<br /> /7 a.# /C; ,w/~ .S//e.. /7<1'/ P/"s/~e. -
<br />IMPACT: " COMPLETE COST ESTIMATE
<br />/fO<?d ~q/,~ re~- 50 ~C?0tX>
<br /> ;/
<br />NAME OF INSPECTOR AGENCY PHONE NO.
<br />c/"'n<?~har,> ,.u; ~ .FHA/A / ro/.....-""n6 ..o".;,.As";'" OFFICE231/-'7938 I HOME~:,_-::~~
<br /> ;rJ/;-/'" ~,J~ ,/"'.....,?___~"_~ /J,cr'~ 4'/'J' 7/,'__J '" C'2 ~/I_I_~_ ,-.
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