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<br /> <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I - APPLICANT INFORMATION <br />NAME OF LOCAL CONTACT <br /> <br /> <br /> <br />PART II - SITE INFORMATION <br />KEY FOR DAMAGE CATEGORY (UBe approprfDt~ lett.,.. In tile "co",or)''' bloclu below) <br /> <br />.. DEBRIS REMOVAL <br />b. PROTECTIVE MEASURES <br />c. ROADS AND BRIDGES <br /> <br />d. WATER CONTROL FACILITIf:S <br />e. PUBLIC BUILDINGS <br />f. PUBLIC UTILITIES <br /> <br />SITE CATE. LOCATION (Use mGP locAtion. Gddre... etc.) <br />NO. GORY <br />I t2- /JO ff~eIC ,,;C /.htL S; <br />DESCRIPTION OF DAMAGE <br />/1Jt./D ?Low t Jt),<r~~ /Aj/J~ H Ot./T <br /> <br />IMPACT: <br /> <br /> <br />77) <br /> <br /> <br />OF <br /> <br />SHEETS <br /> <br />( <br /> <br />J't) s- <br /> <br />g. FACILITIES UNDER CONSTRUCTION <br />h. PRIVATE NON-PROFIT <br />I. PUBLIC RECREATION <br /> <br /> <br />iC"K <br /> <br />t:J/ /1 P.1A?m~",.) tPF /~;~ S'r:/?EE7: <br /> <br />/Emp. (!U.H</2(; <br /> <br />~s-P~Btf" PGmi?;;,u1{ a-P49Ce #EU. <br />, <br /> <br />SITE CATE. LOCATION (U.. map location. CIIidnr.a'. de.) <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />.. <br /> <br />SITE CATE. LOCATION (U.. mop locoflon. add,... de.) <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />SITE CATE- LOCATION (Use mop location. Gddre". etc.) <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />NAME OF INSPECTOR <br />~Pvt-J,&~-,,A/. ~ury <br /> <br />AGENCY <br />F"Pt<J 19 (1,.." "D/~ <br />.., <br /> <br />" COMPLETE <br /> <br />")' c5< t) <br /> <br />% COMPLETE <br /> <br />% COMPLETE <br /> <br />" COMPLETE <br /> <br />PHONE NO. <br />OFFICE <br />?:=<I- r./<ls8 <br /> <br />COST ESTIMATE <br /> <br />~ ;;9 t'JCJ <br /> <br />COST ESTIMATE <br /> <br />~',~, ,l. <br /> <br />COST ESTIMATE <br /> <br />COST ESTIMATE <br /> <br />II:f.0ME <br />47,~-5C:::.?1 <br />