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<br /> <br />COUNTY <br /> <br />FEDERAL .GENCY MANAGEMENT AGENCY <br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I - Al'PLlCANT INFORMATION <br />NAME OF LOCAL CONTACT <br /> <br />DATE <br /> <br />NAME OF APPLICANT <br /> <br />PHONE NO. <br />,J.?3-/:?3s <br /> <br />'S-S 1 C OF Co'-o~A40' ~€,y B u ~ <br />PART 11- SITE INFORMATION <br />KEY FOR DAMAGE CATEGORY (U.. GPproprl4t."turw In tI.. "c.t.,ory" b'ock. "'.~IUJ <br /> <br />e. DEBRIS REMOVAL <br />b~'''ROTeCTIVI! MEASURES <br />Co 'ROADs-AND BRIDGES <br />., . <br /> <br />d. WATER CONTROL FACILITIES <br />.. PUEU.IC BUILDINGS <br />f. PUBLIC UTILITIES <br /> <br />g. FACILITIES UNDER CONSTRUCTION <br />h. PRIVATE NON.pROFIT <br />I. PUBLIC RECREATION <br /> <br />SITE CATE- LOCATION (U.. mq JoCGtlon. .dd...... de.) <br />....0. aORY <br /> <br />I <br /> <br />.. /Y#RI(J(JJ ?, C J9 r,~'; S <br /> <br />"...... le--eJT~ SLoP4: <br /> <br />~. <br /> <br />OESCRIPTION OF DAMAGE <br />[;"~lEIJJlTv~i'.s rll..Oh ~ve"""'~;'l Gl7e4fE"~~ ~~.....T'''7EA"C'1 ~GJA.? <br /> <br />711...",,,,, 411" ",oEt?k kJOl"l:-lI ~ ~S reI"? - ~ 5":,,"'''' _ t-JP <br />(l::i:t1AOfLC'ilt.. /tCV_u::;'L Ass:'#"r;t,..~E _1t.:!J~tlO'_ oJ!- _" <br />/9EA,AL I'N.;-"fJlf(A-PUY <-,F r€.(u.t'J.I"''',I9#"r~/ 11/"'t::-.II$_ ~.s:4dD'-,J !f_ <br />~hSA,E,Ae" I'Ail7Ec711"e IrEIISc4f eS ",UI..../"h.s~ an,~.1Y ~~........llo "'0,- <br />trek,;&. J~;' '- I .... ~ _.,t,I,; vL "'"An:- H, 'A"a...;I' PC-/'" <br />IMP~CT:.~~ _ -~:',~:.~> "COMPLETE <br /> <br />~" ')~1i"~>~7~;: .. ~cf:" '''? <br /> <br />I'd 0"" OJ'- <br />COST eSTIMATE <br /> <br /> <br />LOCA TIOH (UM m." location. adcIreu. ek:.) <br /> <br />OF DAMAGE <br />"~r'Arlw1a-'i:J <br /> <br />.~'. <br />~.' <br />.~ <br />, <br />6'r.p,..?,~~r <br /> <br />/~~ F"_o'" ""?#'7"'";7 <br /> <br />~: <br /> <br />$rAF,r 7i:1 ;'l"ltlC4".,r ~/A"S'~'" ro CffTA...;lS' <br />''i.rdO /",-10 <br />I"""c:,,,,,e ",p SAAIJ8At.J- S5)o(;O r Ol~ <br /> <br />I',', <br />~'i',. <br />'-";. <br />~( <br /> <br />IMPAc:T',: <br /> <br /> <br />.y: ~OCATION (u.. _ _lion, add..... etc.) <br />';t4:~~:~~ . <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br />fl . /"o"~.\ <br />706 8"0 <br /> <br />",'<:'. <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />". <br /> <br />L'-' <br /> <br />c <br />I'~ <br />t <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br /> <br />SITE CA1'E. LOCATION (UM Mcrp locotIo... add...... dc.) <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST eSTIMATE <br /> <br />NAME OF INSPECTOR <br /> <br />AGENCY <br /> <br />PHONE NO. <br />OFFICE <br /> <br />HOME <br /> <br />FEMA Form 110-81, JAN 84 <br /> <br />QPO 10".760 <br />