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<br /> <br /> , SHEET OF SHEE <br /> FEDERAL r' ~GENCY MANAGEMENT AGENCY DATE <br /> PRELIMINARY D.......AGE ASSESSMENT SITE ESTIMATE c- ':1.7-,5-'1 <br /> PART I - APPLICANT INFORMATION <br />COUNTY I NAME OF APPLICANT INAME OF LOCAL C~kACT PHONE NO. <br />I<~c/r -t- Oak &-~, 7P~~ if AI".., Cd &u....." r- "" '7.36- 2'1;;J.;1... <br /> / PART II - SITE INFORMATlON/ <br />KEY FOR DAMAGE CATEGORY (Use appropriate lelte,..ln the "cate,or)''' bloc.s below) <br />a. DEBRIS REMOVAL d. WATER CONTROL FACILITIES g. FACILITIES UNDER CONSTRUCTION <br />b. PROTECTIVE MEASURES e. PUBLIC BUILDINGS h. PRIVATE NON-PROFIT <br />c. ROADS AND BRIDGES f. PUBLIC UTILITIES I. PUBLIC RECREATION <br />SITE CATE. LOCATION (U.e mop location. oddre... etc.) <br />NO. GORY I1pl'''Y .L- Am 1..- <br />I r v/" ~......... <br />DESCRIPTION OF DAMAGE <br /> ~rt- ~ W"R.-J" ~...L.-- ovt-. fWrl .s~ , <br /> /,.-...1; ;0, t" <br />IMPACT: tf.........,.-vv".... j".. T. fnJ~G,.......,r ...-(__~ >:r c.--/ % COMPLETE COST ESTIMATE <br /> ./. <br />"",,1.....- ~ +.- - ~-/"--'7 r7" ,r-.-'. 120 OdO <br />SITE CATE- LOCATION (U" mGP location, addre... etc.) <br />NO. GORY .::;:.........s-rr.- /__ /rr-- .,,/-. . <br />1- t=- <br />DESCRIPTION OF DAMAGE <br /> -V+- /?nIle.. / /P~ .../o.r -t- L ""I?S-f 11 I"J..";;'...<.) . <br />IMPACT: -r;~~ /"~I/ /0'1/.';:7 ",,"cI-<.--/.........-..- % COMPLETE COST ESTIMATE <br /> $ <br />~....#.-- ~- ..s-l-,.-~ . /0- 7 000 <br />SITE CATE- LOCATION (UM mop location. addruB, etc.) <br />NO. GORY <br />J r V~ ~~r /,/.-7'-. <br />DESCRIPTION OF DAMAGe <br /> -S~ ~,s,. h ~./ bnlP-.- /c.vla.r~ /".,//4.. _ <br />IMPACT: c/ -4-> - 'P t:.us+..r of- rY/,;<4--~~ % COMPLETE COST ESTIMATE <br />.4',//4- r---;;r,,'~ t/"'lJGT 6ft...,. 4/&./) <br />SITE CATE- LOCATION (UBe mop location. Gddreu. etc.) <br />NO. GORY <br />~ I"- tV~....~ /!"......,r. <br />DESCRIPTION OF DAMAGE <br /> -Sdl- ~Vk""~~ --.. //_7' _ <br /> ;V". d....."p- _ <br />IMPACT: % COMPLETE COST E$TIMA TE <br /> Jo,J't,/ I/AI~PT~/1VrdJ <br />NAME OF INSPECTOR AGENCY PHONE NO. <br />~a:v,.ct-- [j,.,:; OFFICE , HOME <br />..s ~_,~-r- V...s. c"" ?4'" .., ;1 r_ ;0 "r? ! I <br /> <br />