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AUTOMOBILE BURGLARY & THEFT PREVENTION AUTHORITY <br />PROJECT APPROVAL INFORMATION <br />Item 1. <br />Does this assistance request require state, <br />locai, regional, or other priority rating? <br />0 Yes ■ No <br />Item 2. <br />Does this assistance require state, or local <br />advisory, educational, or health ciearance? <br />❑ Yes ■ No <br />Item 3. <br />Does this assistance request require <br />TRACS review? <br />❑ Yes ■ No <br />Item 4. <br />Does this assistance request require state, <br />local, regional, or other planning approval? <br />■ Yes ❑ No <br />Item 5. <br />Is the proposed project covered by an <br />approved comprehensive plan? <br />■ Yes ❑ No <br />Item 6. <br />Will the assistance requested serve a <br />federal installation? <br />❑ Yes ■ No <br />Item 7. <br />Will the assistance required be on federal <br />land or installation? <br />❑ Yes ■ No <br />Item 8. <br />Will the assistance requested have an <br />impact or effect on the environment? <br />❑ Yes ■ No <br />Item 9. <br />Will the assistance requested cause the <br />displacement of individuals, families, <br />businesses or farms? <br />❑ Yes ■ No <br />Item 10. <br />Is there other related assistance on this <br />project (previous, pending, or anticipated)? <br />❑ Yes ■ No <br />Item 11. <br />Is the project in a designated flood <br />hazard area? <br />❑ Yes ■ No <br />Name of Governing Body <br />Priority Rating <br />Name of Agency or Board <br />(Attach Documentation) <br />(Attach Comments) <br />Name of Approving Agency Automobile Theft <br />Prevention Authoritv <br />Check One: ■ State <br />❑ Local <br />❑ Regional <br />Location of Plan Automobile Theft Prevention <br />Authoritv <br />Name of Federal Installation <br />Federal Population Benefiting from Project <br />Name of Federal Installation <br />Location of Federal Land <br />Percent of Project <br />See instructions for additional <br />information to be provided. <br />Number of Individuals <br />Families <br />Businesses <br />Farms <br />See instructions for additional <br />information to be provided. <br />See instructions for additional <br />information to be provided. <br />ABTPA-4 <br />