Laserfiche WebLink
<br />F"JECT APPROVAL INFORMATlf <br /> <br />CJU-3 <br /> <br />11fID-L <br />Does this assistance request require' state. local, <br />regional, or other priority rating? <br />1J Yes ~ No <br /> <br />Name of Governing Body <br />Priority Rating <br /> <br />il~m 2... <br />Does this assistance request require state, or local <br />advisory, educational, or health clearance? <br />a Yes 0 No <br /> <br />Name of Agency or Boaro <br />(Anach Documentation) <br /> <br />llmn.l <br />Does this assistance request require TRACS review? <br />. J'. Yas 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 />~ Yes U' No <br /> <br />Name of Approving Agency <br />Date <br /> <br />l1atn.i <br />Is th~ proposed project covered by an approved <br />comprehensive plan? <br /> <br />~ Yes Q No <br /> <br />Check One: U State <br />o Local <br />o Regional <br />Location of Plan <br /> <br />~ <br />Will the assistance requested serve a federal <br />installation? <br /> <br />~ Yas 0 No <br /> <br />Nama of Federal Installation <br />-...- .-.-.....--. .-. -- <br /> <br />Federal POp'Jlation Benefiting from Project <br /> <br />item 7~ <br />Will the ,assistance required be on federal land or <br />installation? <br /> <br />o Yes Xl No <br /> <br />Name of Federal Installation <br />Location of Federal Land <br />Percent of Project <br /> <br />11e.m.a <br />Will the assistance requested have an impact or <br />effect on the environment? <br /> <br />o Yes l] No <br /> <br />See instructions for additional information tc ~e <br />provided. <br /> <br />l1am.i <br />Will the assistance requested cause the displace- <br />ment of individuals, families, businesses or farms? <br /> <br />U Yes ~ No <br /> <br />Number of: Individuals <br />Families <br />Businesses <br />Farms <br />.. <br /> <br />-.-- -- <br /> <br />l1am..1.O.. . <br />Is there other related assistance on this project <br />previous, pending, or anticipated? <br /> <br />Ii Yas 0 No <br /> <br />See instructions for additional information to be <br />provided. <br /> <br />l1m.1t <br />Is the project in a designated flood hazard area? <br />U Yes ~ No <br /> <br />See instructions for additional information to be <br />provided. <br />