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<br />PAGE 1 OF <br /> <br />PAGES <br /> <br /> <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />PRELIMINARY DAMAGE ASSESSMENT SUMMARY <br />P T 1- APPLICANT INFORMATION <br />NAME ~OCAL CONT CT <br />!.//~ ~ <br />MAINTENANCE BUDGET <br /> <br /> <br /> <br />PHONE NO. <br />4 -c6 <1-S" <br />DATE FY BEGINS <br /> <br />a.l.nee $ <br /> <br />Approved $ <br /> <br />eelenee $ <br /> <br />CATE- NO. OF <br />GORY SITES <br />34 / <br />8 b <br />- <br /> <br />PART II - COST ESTIMATE-SUMMARY (COMPLETE SITE ESTIMATE BEFORE SUMMARIZING BELOW) <br />POTENTIAL LOCAL FUNOS FOR RECOVERY <br />FUND/ACCOUNT ~' AVAILABLE BALANCE <br /> <br />TYPES OF DAMAGE <br /> <br />COST ESTIMATE <br /> <br />l/U:61ti s 12 e.UiJVI9 / <br />!t~f!;J/1'l.. f};/::.es <br /> <br />28;,50 tJ <br />6 ~ 000 <br /> <br /> <br />TOTAL <br />8~ .500 <br /> <br /> <br />TOTAL <br /> <br />PART III - DISASTER IMPACTS (USE SEPARATE SHEETS IF NECESSARY) <br />A. GENERAL IMPACT <br /> <br />l"d;p;;~:~ri~ama;;:c~~tu~~ealha~;F~7rdh;ez;<<c. ~ L'fl~ 9;e~~--1 <br />f"'/''c- ;,1' 4e;?;i~';; 4.:- "A-J'~f".~r M"~~ <br /> <br />2. Population adversely affected directly or indirectly by the loss of public facilities or damages. ../ . ~ . ~ / <br />(J,-e... ".,( ./"t... ~(> C4~"".4111 ,,~.. ~ 0" /0 Jt!" OV't. \4. ~ <br /> <br />irk'll- .5"0 % dU#L'} ++ .J'e'.$o~ . <br /> <br />3. What economic activities .are adversely affected by t~e loss of pub~ taci~ties ~r damages? / L J,IIp /I'- ~ V"" /:' <br />M 1U'fL(j/'1.~CO"t:J~rc. n-<:rlv,;4''4:/ wt:J". ~ . ~ 'f'y <br />11~C'~:/ b~ ~~ It:JS.1 ,r' /vJ/,C ~,;:: "''''J. <br /> <br />B. REtr;;:A:?, ~::;;ant -;on/)~;:r~;;;..:a9" 6;; an~:u~~~70f;;~/::::/- <br />D"'- L tle sov,c.c"s ~ ,lfl'.r/O", cL ~ ~ eov"~ fvJik~. <br /> <br />C. :~:~~;~?;~:: ~:,C/RAT;;~;;;E' ;.~:.rra';?an7d:' imp; ;~:;;;:;caPiUI <br /> <br />/j--t,,4 . <br /> <br />ICCUA 1C__ftAiIW'Io ......... <br /> <br /> <br /> <br />';f. ~ m~~4 <br />