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PROJECT APPROVAL INFORMATION UJu -J <br />I�m1 <br />Does this assistance request require state, local, Name of Governing Body Ark -Tex Council of Go <br />regional, or other priority rating? Priority Rating <br />'J Yes U No <br />I'e m 2. <br />Does this assistance request require state, or local Name of Agency or Board Ark-Tex Council of Gov. <br />advisory, educational, or health clearance? (Attach Documentation) <br />Yes 'J No <br />Item <br />Does this assistance request require TRACS review? (Attach Comments) <br />Yes U No <br />Item 4• <br />Does this assistance request require state, local, <br />regional, or other planning approval? <br />'-� Yes U No <br />Name of Approving Agency r- k- TAv n�.nri i �T Gov. <br />Date <br />Item 5. <br />is the proposed project covered by an approved <br />Check One: -:kJ State Criminal justice Divis i o= <br />comprehensive plan? <br />J Local <br />Yes Q No <br />-N Regional Ark -Tex Council of Gov <br />Location of Plan <br />Item 6. <br />Will the assistance requested serve a federal <br />Name of Federal Installation <br />installation? <br />Federal Population Benefiting from Project <br />U Yes `S No <br />Item 7. <br />Will the assistance required be on federal land or <br />Name of Federal Installation <br />installation? <br />Location of Federal Land. <br />U Yes U No <br />Percent of Project <br />Item 8. <br />Will the assistance requested have an impact or <br />See instructions for additional information to b•2 <br />effect on the environment? <br />provided. <br />U Yes 2 No <br />10m2. <br />Will the assistance requested cause the displace- <br />ment of individuals, families, businesses or farms? <br />Number of: Individuals <br />U Yes J No <br />Families <br />Businesses <br />Farms <br />Item 10. <br />Is there other related assistance on this project <br />See instructions for additional information to be <br />previous, pending, or anticipated? <br />provided. Previous $78,710.00 <br />'3 Yes U No <br />Existing $51,311.00 <br />Item 11. - <br />See instructions for additional information to be <br />Is the project in a designated flood hazard area? <br />provided. <br />U Yes �:l No <br />