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<br />! <br /> <br />~ <br /> <br /> <br />'04-., <br /> <br /> <br />FEDERAL L GENCY MANAGEMENT AGENCY <br />PRELIMINARY D AGE ASSESSMENT SITE ESTIMATE <br /> <br />PART I - APPLICANT INFORMATION <br />NAME OF APPLICANT NAME OF LOCAL CONTACT <br />CcUN\' . RoN.. \-\\L 'K..eo <br />PART II - SITE INFORMATION <br />KEY FOR DAMAGE CATEGORY (UM appropriate wtt.,.. In th. "cot.6ory" bloc.. below) <br /> <br />PHONE NO. <br /><67fl- ~3 <br /> <br />.. DEBRIS REMOVAL <br />b. PROTECTIVE MEASURES <br />c. ROADS AND BRIDGES <br /> <br />d. WATER CONTROL. FACILITIES <br />e. PUB.LIC BUILDINGS <br />f. PUBLIC UTI LITIES <br /> <br />g. FACILITIES UNDER CONSTRUCTION <br />h. PRIVATE NON-PROFIT <br /> <br />I. PUBLIC RECREATION <br /> <br />Ac..~.."t..(W ~,.). A <br />8' <br /> <br />SITE CATE. LOCATION (U,. me loeotion. add,...,. .tc.) <br />,...0. GORY <br /> <br />'>;) <br /> <br />a .. <br /> <br />\N.\\..e.~ <br /> <br />~~'\::)c.e- - <br /> <br />Q Cll.}}.l ,'\ <br /> <br />Kn~ 4-. <br /> <br />DESCRIPTION OF DAMAGE <br />'To SA'Ll? e.~\bc;;.b FRo"" <br /> <br />s- M ~ G..e-N. c.', e.. ~L" i:~\.S <br /> <br />Qosl c..\\,J~ ~'I. p.o,c...' <br /> <br />w-AS~\~c;.. M.I.\" \ IN.s.,~LLl=~ <br />10 ?',\ pAS-So f:~ wA.,~~, <br /> <br />~'S1<> <br /> <br />apST ESTIMATE <br /> <br />7'(\0\ DOC) <br /> <br />IMPACT: <br />'f..l\-LL- ~~k1'\CQ.e "To 1"'t1)~E' PlJf6Uc.. PRoPW- <br /> <br />" COMPLETE <br /> <br />SITE CATE- LOCATION IU......loaIIIoa. ~ etc.} <br />NO, GO!,'" <br /> <br />D~ <br /> <br />c.. e.. <br /> <br />f=.o (<.. \(.. <br /> <br />ef: <br /> <br />\\-\.E: <br /> <br />~\ C.E A"tC-E" <br /> <br />cl?-. <br /> <br /> <br />OF- D AGE <br />'To;<SA'i~ PUQ.u.c::. <br /> <br />K~~l2-~ ""To <br /> <br />B lL\ D a.. E A.t-t t:> <br />B.'{ ~ s..s. F-L~ <br /> <br />CcClU~~ \.t; .~~ I \:e.O~.. <br />W"',~ -nl2...u e..I.}L\I~\5, <br /> <br />~o~l" <br /> <br />COST ESTIMATE <br /> <br />~ <a, ()(9() <br /> <br />IMPACT: <br />To Sf'A-1Lb F-u1l.\'l-\~ ~MI'\, c"'b" 01::: 8te. <br /> <br />" COMPLETE <br /> <br />SITE CAn- LOCAYIOM(fioe___ete.) <br />NO, GORY <br /> <br />, <br />';~~ <br /> <br />1 <br /> <br /> <br />\N.eA\le-'2.. c.R.. A, 't c-LLo\J-( ~~'c::. . P'A- S5, <br /> <br />I Ns,ALLEt> A- PLOoD c..UL Vt,"'r2., /3'1 C.IYIIJNb e'xI.s..,/N "'- <br />RoA-j) To (NCU~s.B FL{)~ P-f2.(]~ av82--r of'P/Nc. f4..N.b <br />J)14~.'1-1 ~ BRID G..-l? <br /> <br />DESCRIPTION Of DAMAGE <br /> <br />era ~o <br /> <br />Cc:ii.T ESTIMATE <br /> <br />/( S, D~ <br /> <br />IMPACT: <br />?f..G1)ta~J) F'vJ2-rHf=;42- ()A-M It 6-G"" <br /> <br />" COMPLETE <br /> <br />SITE CATe. LOCATION (UN map location. add,...., de.) <br />NO. GORY <br />B 8 0o~\'l ROAJ') 10- <br />DESCRIPTION OF DAMAGE <br /> <br />A\ <br /> <br />~(j A.t-t. e,\.\R.c;.. <br /> <br />R.0t3:.D <br /> <br />S A."t4l\5 <br /> <br />A-!3. <br /> <br />s"\\.'t"" f ' <br /> <br />Rt~c...r;- <br /> <br />~~<;..~ <br /> <br />cqo6}Q <br /> <br /> <br />IMPACT: <br /> <br />" COMPLETE <br /> <br />QO:,I:SPEC; 0 (I \ ~ ( <br /> <br /> <br />AGENCY "- V' <br /> <br />\\,[) <br /> <br />PHONE NO. <br />OFFICE I HOME <br />4-.L\.o, ~~OS <br /> <br />(l , r'1. \-?" <br />