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282 <br />Form Approved <br />Ohir; rl�. 0-R _ 1.179 <br />HLID-007 (1-75) <br />7 <br />P-1,7�r- 2 Of 2 PLI't:CS. <br />PREAPPLICATION FOR FEDERAL ASSISTANCE <br />PART Ii <br />INDICATE ANSWER BY PLfCING "X" IN PROPER COLUMN <br />YES <br />NO <br />2. <br />3_ <br />Ci's asslst2�lce recuest loc2l regi-311-11 or Other viority ratillu? <br />ru.-, s this assistance requife st,--te or locit adNisory educational or health clearance? <br />-Do G.IS assist. ce r0QUeSt C1C'3fk1T:'!t-Use fe';ieW? XETACIEMENT I I <br />x <br />X <br />4. <br />D:;es this assistance request foquil", S'3',e, local, regio,,oj or other plari-ning approval? <br />X <br />S. <br />6. <br />Is Vic P-,op3sed project covered by an approve) co-;ipiehertsive plan? ATTACIPMENT 1, <br />Will tha assistance requested serve al Federal i,istallation? <br />I. <br />Will t—`Ia assistance requested be on Federal land or iristallation7 <br />x <br />8. <br />Will the ass;stance requested have an effect on AT Mgr f r, r� <br />x <br />9. <br />Will tiro assistance rzquested cause the disphcem-eent, of individuals, fxJlies businesses, or farm? <br />x <br />10. <br />Is there other related assistance for this of 2i ect previous pending, or anticipated? <br />x <br />11. <br />Flood Hazard lisurance Requirements <br />a. The project El is ❑ is not located irr an area designated by HUD as as area having special flood hazards under the <br />Flood Disaster Protection Act of 1973 (P. L. 93-234) <br />b. The area in which the project is located Q has ❑ has not been identified by HUD as one in which sale of Flood <br />Insurance has been made available under the National Flood Insurance Act of 1968(42 U.S.C. 4001). <br />The Applicant is on the Emergency Program <br />PART III - PROJECT BUDGET <br />• <br />FEDERAL CATALOG <br />NUMBER <br />TYPE OF <br />ASSISTANCE <br />LOAN,GRANT.ETC. <br />FIRST BUDGET' <br />PERIOD <br />BALANCE OF <br />PROJECT <br />TOTAL <br />(b) <br />(C) <br />2. <br />3. <br />4. <br />6. <br />Total Federal Contribution <br />0 <br />7. <br />State Contribution <br />—300,00 <br />8. Applicant Contribution <br />2-40,9M- <br />9. <br />Other Contributions <br />10. <br />Totals <br />54o,goo <br />PART IV - PROGRAM. NARRATIVE STATEMENT (Attach Per Instructions) <br />See Attacluneni: II <br />HLID-007 (1-75) <br />7 <br />P-1,7�r- 2 Of 2 PLI't:CS. <br />