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<br />FEDER <br />PRELlMINA <br /> <br />ERGENCY MANAGEMENT AGENCY <br />DAMAGE ASSESSMENT SUMMARY <br /> <br /> <br />,(,,8<\. <br /> <br /> <br />PART I - APPLICANT INFORMATION <br />NAME OF LOCAL CONTACT <br />~ e.. ~ '0 t-l ~ \.. \Lt. <br />MAINTENANCE BUDGET <br />Bel.nee $ Approved $ B.I.nee $ <br />PART II - COST ESTIMATE..slJMMARY (COMPLETE SITE ESTIMATE BEFORE SUMMARIZING BELOW) <br />POTENTIAL LOCAL FUNDS FOR RECOVERY <br />FUND/ACCOUNT _' AVAILABLE BALANCE <br /> <br />NAME OF APPLICANT <br />00 \,)\""\, ~ <br /> <br />PHONE NO. <br /> <br />'c"\8-~'3 <br /> <br />DATE FY BEGINS <br /> <br /> CATE- NO. OF <br />Y GORY SITES <br />, B 8. <br /> <br />TYPES OF DAMAGE <br /> <br />COST ESTIMATE <br /> <br />3 <br /> <br />tJ ~\,....-\ s.. 're.","" '" \ ~YO'm <br />"rY\ ~ c:\ s.9...~ c\....s. . <br /> <br /> <br />E........4.....'7It"'~'\ ~ -\--0 ~..~ <br />\o\>b~l Nklr.....\-o ~ <br />1l\N"\"...... <iA~y-. <br /> <br />~ <br /> <br />\4~,Qo() <br /> <br /> <br />TOTAL. <br /> <br />i <br /> <br />t <br /> <br />PART III - DISASTER IMPACTS (USE SEPARATE SHEETS IF NECESSARY) <br /> <br />I".,.,,',',...... <br />:~~. <br />,j"- <br />i:~: <br />t-" <br />f <br /> <br />A. GENERAL IMPACT <br />1. Identify and describ€t damages which constitute a health an~/or safet~ hazard to the general tJubli~ \ ~ _ \ _ ' <br />.DQ..o...~ W\Q.& 0,,,,\ 'VV'."'-\ ~T-~\\ \::,~...~q \3"'13........- ~~..n-{ <br />C \.IQ.J. '--- 0... \-. J2.~ ~ "'o...~~c\. \-0 \""L. ~"'"".....,.-\ \pub9J ~ <br />,\~o.; l'\b\- \.--.-,\."'......l~ ~~..s. c~~d.. o~ _ U <br />2. Population ~rselV 8ffected di~v-or ~irectlv lW the loa of publ facilities or d8m8gltL " . <br />\J Q.......O 'Y'" \...... oV- <br /> <br />3. WhIt econ<Mn~ ::~:::~":dvi~V =rv t~ \' ~r~~t~~~.. o~tSi^"~ \- ~ \M . <br /> <br />B. RESPONSE CAPABiliTY: Can the applicant respond and recover from the damages quicklV and without degradation of publ~ services? Describe. <br />\-..lo, '\r\;\S: \~Y'-o.."'<?~o...\ c\~-..j......~\'c", 'f-Lo:,~Q..~ ~ \"'~ <br /> <br />C(')\\"'~ \0 ~.. ~c:..O a\~...<- 'v'...... ~~ ?,,:,~~~(l \JJ.""'(~, <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 /> <br />~h ~e. Qc;:.~ <br />~L\ <br /> <br /> <br />~o..~",' J1 ~ v'~ Sol ~ <br /> <br />AGENCY ,-- <br />e (9 t:::- <br /> <br />?;/q-O"2...1'L <br /> <br />PHONE NO. <br />440 - ?:;~~ <br /> <br />FEMA Fonn _0. JAN 84 <br />