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<br />Pl'tOJECT APPROVAL INFORMATIf'lPol <br /> <br />t;JU-3 <br /> <br />ftAm 1. <br />Does this assistance request require state. local, <br />regional, or other priority rating? <br />o Yes CI No <br /> <br />Name of Goveming Body <br />Priority Rating <br /> <br />ItAm2.. <br />Does this assistance request require state, or local <br />advisory, educational. or health clearance? <br />CJ Yes OIl No <br /> <br />Name of Agency or Board <br />(Attach Documentation) <br /> <br />Item 3. " <br />Does this assistance request require TRACS review? <br />. . <br />.. Xl Yes 0 No <br /> <br />(Attach Comments) <br /> <br />Item 4. <br />Does this assistance request require state. local, <br />regional, or other planning approval? <br /> <br />t1 Yes 0" No <br /> <br />Name of Approving Agency <br />Dale <br /> <br />Item 5. <br />Is thE! proposed project covered by an approved <br />comprehensive plan? <br /> <br />XI Yes <br /> <br />Q No <br /> <br />--.-.-- <br /> <br />Item 6. <br />Will the assistance requested serve a federal <br />installation? <br /> <br />lJ Yes <br /> <br />o No <br /> <br />Item 7. <br />Will the assistance required be on federal land or <br />installation? <br /> <br />DYes <br /> <br />[j No <br /> <br />ItAmB. <br />Will the assistance requested have an impact or <br />effect on the environment? . <br /> <br />Cl Yes <br /> <br />Xl No <br /> <br />Item 9. <br />Will the assistance requested cause the displace- <br />ment of individuals. families, businesses or farms? <br /> <br />u Yes <br /> <br />tI No <br /> <br />Check One: U State <br />rjI Local <br />o Regional <br />Location of Plan <br /> <br />Name of Federal Installation <br />Federal Population 8enefitingfrom Project <br /> <br />Name of Federallnstallalion <br />Locmlon of Federal Land <br />Percent of Project <br /> <br />See instructions for additional information te be <br />provided. <br /> <br />Number of: Individuals <br />Families <br />Businesses <br />Farms.. <br /> <br />Item 10. <br />IS there other related assistance on this project <br />previous, pending, or anticipated? <br /> <br />iJ1 Yes a No <br /> <br />See instructions for additional information to be <br />provided. <br /> <br />Item 11. <br />Is the project in a designated flood hazard area? <br /> <br />U Yes t& No <br /> <br />See instructions for additional information to be <br />provided. <br />