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Aft AUTOMOBILE BURGLARY St THEFT PREVENTION AUTHORITY Form ABTPA-104 <br />Watrh Your Car (p~ ~1 <br />PROJECT APPROVAL INFORMATION <br />Item 1. <br />Does this assistance request require state, <br />local, regional, or other priority rating? <br />❑Yes ZNo <br />Item 2. <br />Does this assistance require state, or local <br />advisory, educational, or health clearance? <br />❑Yes ZNo <br />Item 3. <br />Does this assistance request require state, <br />local, regional, or other planning approval? <br />ZYes ❑No <br />Item 4. <br />Will the assistance requested serve a <br />federal installation? <br />❑Yes ZNo <br />Item 5. <br />Will the assistance requested have an <br />impact or effect on the environment? <br />❑Yes ZNo <br />Item 6. <br />Will the assistance requested cause the <br />displacement of individuals, families, <br />businesses or farms? <br />❑Yes ZNo <br />Item 7. <br />Is there other related assistance on this <br />project (previous, pending, or anticipated)? <br />❑Yes ZNo <br />Name of Governing Body <br />Priority Rating <br />Name of Agency or Board <br />(Attach Documentation) <br />Name of Approving Agency ABTPA <br />Name of Federal Installation <br />Federal Population Benefiting from 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 />ABTPA-2 of 31 <br />