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<br />CATE- <br />GORY <br /> <br />FEDERAI,ERGENCY MANAGEMENT AGENCY <br />PRELlMINA DAMAGE ASSESSMENT SUMMARY <br />PART 1- APPLICANT INFORMATION <br />NAME OF LOCAL CONTACT <br />..J7' Do 6c.,4 S <br />MAINTENANCE BUDGET <br />Approved $ aalance $ Approved $ aalance $ <br />PART II - COST ESTIMATE~SUMMARY (COMPLETE SITE ESTIMATE BEFORE SUMMARIZING BELOW) <br />POTENTIAL LOCAL FUNDS FOR RECOVERY <br />FUND/ACCOUNT _' AVAILABL.E BALANCE <br /> <br />. <br /> <br /> <br />( <br />c~, <br />~, ' <br />':4 <br /> <br /> <br />PHONE NO. <br />~Jq Ol(),f <br /> <br />DATE FY BEGINS <br /> <br />, <br />i <br />i <br />j <br />i <br /> <br />NO. OF <br />SITES <br /> <br />TYPES OF DAMAGE <br /> <br />COST ESTIMATE <br /> <br />c. <br /> <br />4 <br /> <br />LA-1'6C ;:?r>c:, C/Y1BrJ;;J/c <br />Sl-u?r-;q~;/fJ t7 tJ",;S;.J OUT / () 3, ao () <br /> <br />-4, 4 Co Cp-r?C7/J .s <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 /> <br />/lJo IJ C <br /> <br />2. Populetion adversely affected direr:tJy or Indirectly by the loss of public facilities or-demagn. <br /> <br />,-\ <br /> <br />J:)E 7Z! U ItS <br /> <br />i?c,'1f.) (; <br /> <br />U.&6 ;;;., <br /> <br />3. What economic activities are adversely affected bv the loss of publ ic facilities or damages? <br /> <br />6,(0-<< : ~ O~ NOt2MI9(.. 7 A'I9F;C /C- . <br /> <br />7ErnP rY.oSu-tt D<<RI"'J(:: RUII) ;r <br />8. RESPONSE CAPABI LlTY: Can the applicant respond and recover from the damages quicklV and without degradation of pu~ic services? Describe. <br /> <br />C. IMPACT ON PUBLIC SERVICES IF OECLARATlON IS NOT MAOE: e.g.. Deferral of permanent repairs, impact on ongoing services and capital <br />improvements. etc. Describe. <br /> <br />C/JI"/YOL lZEc.ovS7?2dC-.77a.-0 Be; V <br /> <br />N~E OF lNS~CTOR <br />VA~ ~.:t'- <br />"" N. W.,,, <br />FEMA Form eo.aO. JAN 84 <br /> <br /> <br />r) <br /> <br />