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<br /> AUTOMOBILE BURGLARY & THEFT PREVENTION AUTHORITY <br /> <br /> PROJECT APPROVAL INFORMATION <br /> <br /> Item 1. <br /> Does this assistance request require state, Name of Governing Body <br /> local, regional, or other priority rating? Priority Rating <br /> ❑ Yes x No <br /> Item 2. <br /> Does this assistance require state, or local Name of Agency or Board <br /> advisory, educational, or health clearance? (Attach Documentation) <br /> ❑ Yes xNo <br /> Item 3. <br /> Does this assistance request require (Attach Comments) <br /> TRACS review? <br /> <br /> ❑ Yes x No <br /> Item 4. <br /> Does this assistance request require state, Name of Approving Agency Automobile Burglary <br /> local, regional, or other planning approval? Theft Prevention Authority <br /> x Yes ❑ No <br /> Item 5. <br /> Is the proposed project covered by an Check One: xState <br /> approved comprehensive plan? ❑ Local <br /> ❑ Regional <br /> XYes ❑ No Location of Plan <br /> Item 6. <br /> Will the assistance requested serve a Name of Federal Installation <br /> federal installation? Federal Population Benefiting from Project <br /> ❑ Yes x No <br /> Item 7. <br /> Will the assistance required be on federal Name of Federal Installation <br /> land or installation? Location of Federal Land <br /> ❑ Yes x No Percent of Project <br /> Item 8. <br /> Will the assistance requested have an See instructions for additional <br /> impact or effect on the environment? information to be provided. <br /> <br /> ❑ Yes x No <br /> Item 9. <br /> Will the assistance requested cause the Number of Individuals <br /> displacement of individuals, families, Families <br /> businesses or farms? Businesses <br /> ❑ Yes x No Farms <br /> Item 10. <br /> Is there other related assistance on this See instructions for additional <br /> project (previous, pending, or anticipated)? information to be provided. <br /> ❑ Yes X No <br /> Item 11. <br /> Is the project in a designated flood See instructions for additional <br /> hazard area? information to be provided. <br /> ❑ Yes x No <br /> <br /> <br /> ABTPA-4 <br /> 108 <br />