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<br />COUNTY <br /> <br />- ....... <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />PRE LIMINARY DAMAGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I - APPLICANT INFORMATION <br />NAME OF LOCAL CaNT ACT <br /> <br />PART 11- SITE INFORMATION <br />KEY FOR DAMAGE CATEGORY (U.e approprJate letten'n the "cate6ory" bloclt. below) <br /> <br /> <br />,.. <br /> <br /> <br /> <br />'-,. <br />." <br /> <br />.. DEBRIS REMOVAL <br />b, PROTECTIVe MEASURES <br />c. ROADS AND BRIDGES <br /> <br />d. WATER CONTROL FACILITIES <br />e. PUBLIC 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.e map IOCGtton, addren, e~ 1 .. Area. <br />NO. GORY .l$/cHId Aeru S"fafc Kec.~Q.rt4U /T. <br />III <br /> <br />DESCRIPTION OF OA~AGE / ;.(e . / <br />Ov':f""kd -1'1000;'7- Ihro'(J1A--. b~q.e I;" f. 0'/ ;C.e:s c.aws~d <br /> <br />f':t,..,,6-e-;- de.6n.s ~n r'~ pIca/Co arec< ~ Lab.. . <br /> <br />of- J-?O ..........e( Exi <br /> <br /> <br />S i/;/ a...-..c/ <br /> <br />IMPACT: <br />Inf,rul'l-c,d 5cJ ~ 1{' yearly p~ 4'SE <br /> <br />" COMPLETE <br /> <br />Ie) <br /> <br />1ST ESTIMATE <br /> <br />J-~.s-oo <br /> <br />SITE CATE- LOCATION (U.e map location, tJddre.., etc.) <br />NO. GORY <br /> <br />DESCRIPTION OF DAMAGE <br /> <br /> <br />MtG:. - O.f4-c~ 1;'S'/'l'C-!?;~ <br />5 ~lJld ~/~A.--/ ~'.s ' '.,4:.".., <br /> <br /> <br />IMPACT: <br /> <br />ATE- <br />GORY <br />I <br />o SCRIPTI OF DAMAGE I. / / <br />^/.:?>1'~ =. ~c:.Clv'eY7 ~ ()~ f?(;V1.,(C.. ('a..ci li1-?t?s <br /> <br />ROads TClble,s [/eclrlca/ <br />/ .) <br /> <br />OCATION (U.e map location, oddlY", etc.) <br /> <br />~ ,~8-n ctS 4~ <br /> <br />,e' <br />i <br /> <br />f'1fu<-/,;'es/ ?'-f ~ <br /> <br />IMPACT: <br /> <br />.kn;x;ir~ -/,{e ose or Heme .4ree:<. <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />o <br /> <br />3d deJa <br /> <br />SITE CATE- LOCATION (U.e mop locatlon. addre.., etc.) <br />NO. GORY <br /> <br />.' <br /> <br />DESCRIPTION OF DAMAGE <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />COST ESTIMATE <br /> <br />NAME OF INSPECTP'j/ <br />A/hY1 Man"tHler-o <br /> <br />.:J;.'M, I<ANENA /I <br />FEMA F rm 90-81, JAN 84 <br /> <br />AGENCy.... /" _ <br />vW I~ 1,-",-0 <br /> <br />Gu<ps o/, ~A- 1.vtf"tI'-<<j <br /> <br />PHONE NO. <br />OFFICE ,9"TS:Y6651 HOME <br /> <br />9/..: '110-;1.$77 <br /> <br />GPO 004.760 <br />