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<br />COUNTY
<br />~uH
<br />POPULATION
<br />I ~ <10";
<br />
<br />
<br />FEDERAL EMERGENCY MANAGEMENT AGENCY
<br />PRELIMINARY DAMAGE ASSESSMENT SUMMARY
<br />
<br />PART I - APPLICANT INFORMATION
<br />NAME OF LOCAL CONTACT
<br />~A7e.s ~ ./as
<br />
<br />DATE
<br />c.-Z~ -81
<br />
<br />NAME OF APPLICANT
<br />/&v/-l- c,"",
<br />
<br />ealance $
<br />
<br />MAINTENANCE
<br />Approved $
<br />
<br />DGET
<br />eafance $
<br />
<br />PHONE NO.
<br />~79-t:?t531
<br />DATE FY BEGINS
<br />
<br />CATE.
<br />GORY
<br />
<br />NO. OF
<br />SITES
<br />
<br />PART II - COST ESTIMATE.SUMMARY (COMPLETE SITE ESTIMATE BEFORE SUMMARIZING BELOW)
<br />POTENTIAL LOCAL FUNDS FOR RECOVERY
<br />FUND/ACCOUNT ~' AVAILABLE BALANCE
<br />
<br />TYPES OF DAMAGE
<br />
<br />COST ESTIMATE
<br />
<br />e.
<br />
<br />n
<br />
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<br />.a~~.-t M~MQ;/4C!a~
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<br />A/s", .n,44,,;s <c"./ s,kaks ~'-M
<br />r,?d ~cACw.5.
<br />
<br />
<br />
<br />TOTAL
<br />
<br />PART III - DISASTER IMPACTS (USE SEPARATE SHEETS IF NECESSARY)
<br />
<br />A. GENERAL IMPACT
<br />1. Identify and describe damages which constitute a health and/or safety hazard to the general public.
<br />
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<br />
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<br />2.' ~Iation ~y affected directly ,or lndirecdy by the loss of public facilities or damages. / // .
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<br />3. VVhat economic activities are adverselv affected by the loss of public facilities or damages? J /,/
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<br />
<br />B. RESPONSE CAPABILITY: Can the applicant respond and recover from the damages quickly and without degradation of public services? Describe.
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<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 />
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<br />
<br />NAME OF INSP~ST91;i
<br />J~~., ~a" ,ILl. '/PP-n"!
<br />, /, ./
<br />FEMA Form 9(l.BO. JAN 84
<br />
<br />AGENCYF~A Ci;/t7ra 0 O/..",,:s~
<br />/
<br />CLJ/-/ D;d,3
<br />
<br />PHONE NOZM-414'..38
<br />,[324-15010
<br />
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