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<br />PROJEct Al"PtfUVAL INfOHMA liON <br /> <br />:Iem 1. <br />Does this assistance request require state, local, <br />regional, or other priority rating? <br /> <br />o Yes ~ No <br /> <br />Name of Governing ,dy <br />Priority Rating <br /> <br />Ilem2. <br />Does this assistance request require state, or local <br />advisory, educational, or health clearance? <br /> <br />CJ Yes QD No <br /> <br />Name of Agency or Board <br />(Attach Documentation) <br /> <br />Ilem 3. <br />Does this assistance request require TRACS review? <br /> <br />(! Yes 0 No <br /> <br />Review Pendin" <br /> <br />Item 4. <br />Does this assistance request require state, local, <br />regional. or other planning approval? <br /> <br />& Yes 0 No <br /> <br />(Attach Comments) <br /> <br />Ark-La-Tex Cog <br />Name of Approving Agency CTimin;>l 111"r-;"" nivi"ion <br />Date Pending <br /> <br />itemS. <br />Is the proposed project covered by an approved <br />comprehensive plan? <br /> <br />o Yes <br /> <br />o No <br /> <br />ItemB. <br />Will the assistance requested serve a federal <br />installation? <br /> <br />o Yes <br /> <br />I2i No <br /> <br />Item 7. <br />Will the assistance required be on federal land or <br />installation? <br /> <br />u Yes <br /> <br />!l No <br /> <br />ItemB. <br />Will the assistance requested have an impact or <br />effect on the environment? <br /> <br />U Yes <br /> <br />i! No <br /> <br />Item 9. <br />Will the assistance requested cause the displace- <br />ment of individuals, families. businesses or farms? <br /> <br />o Yes (J No <br /> <br />Check One: t& State <br />o Local <br />o Regional <br />Location of Plan Cr:iIDinal Justice Division <br /> <br />Name of Federal Installation <br />Federal population Benefiting from Project <br /> <br />Name of Federal Installation <br />Location of Federal Land <br />Percent of Project <br /> <br />See instructions for additional information to ;)e <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 />(! Yes 0 No <br /> <br />Item 11. <br />Is the project in a designated flood hazard area? <br /> <br />o Yes Gfl No <br /> <br />See instructions for additional information to be <br />provided. $894,718 <br /> <br />TNCP Grants <br /> <br />See instructions for additional information to be <br />provided. <br />