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<br />COUNTY <br /> <br /> <br />FEDERAL EME RGENCY MANAGEMENT AGENCY <br />PRELIMINARY DAMAGE ASSESSMENT SUMMARY <br /> <br />PART I - APPLICANT INFORMATION <br />NAME OF LOCAL CONTACT <br /> <br /> <br />;?</ <br /> <br />NAME OF APPLICANT <br />S;. <br /> <br />s- <br /> <br /> <br />PHONE NO. <br /> <br />CATE- NO. OF <br />GORY SITES <br /> <br />/J <br />MAINTENANCE BUDGET <br />B.I.nce $ Approved $ B.I.nee $ <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 /> <br />Y.? <br /> <br />POPULATION <br /> <br />TYPES OF DAMAGE <br /> <br />COST ESTIMATE <br /> <br />I <br /> <br />41'1D CtEANl/P - Rc- S-" RFr4c.nJi? <br /> <br />tf"q C/o <br />/ <br /> <br /> <br />TOTAL <br />/l9e;o <br /> <br />PART 111- DISASTER IMPACTS (USE SEPARATE SHEETS IF NECESSARY) <br /> <br /> <br />TOTAL <br /> <br />A. GENERAL IMPACT <br />1. Identify and describe damages which constitute a health and/or safety hazard to the general public. <br /> <br />1U~4JC <br /> <br />l."' 2. Population edversety affected directly or~ndirectly by the 1011 of public tKHltles or"dIm... <br />, <br />I <br /> <br />N6 <br /> <br />. <br /> <br />3. What economic activities are adversely affected by the loss of public facilities or damages? <br /> <br />A),Nc <br /> <br />B. RESPONSE CAPABILITY: Can the applicant respond and recover from the damages quickly and without degradation of puhlic services? Describe. <br /> <br />Yc-s, <br />775 <br /> <br />Ciry <br />.& <br /> <br />{;Rc:IUS ;;~""pc/s~o <br />A::CO/YI ,pC/sHeD tCJN'c.e. <br /> <br />L!Lt.=P,J LIP - /Z"'-CU.<JSn'III!A'!CH.J <br /> <br />C. IMPACT ON PUBLIC SERVICES IF DECLARATION IS NOT MADE: e.g., Deferral of pennanent repairs. impact on ongoing services and capital <br />improvements. etc. Describe. <br /> <br />(! /J h 1?JL /2'.,-..0/1/12 <br /> <br />/ <br />k'6=(i)D. <br /> <br />~:~OF N~CTOR <br />""';,na ~ <br />FEMA Form 90-80. JAN 84 <br /> <br />AGENCY j <br />{!o '" ,D,p '</wy /...... <br />:Iv-~ C#/p~.p.~1" ~/Y/5/~ <br /> <br />PHONE NO. <br />82'/-50/0 <br />2:34-44.36 <br />