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U.S. DEPARTMENT OF AGRICULTURE <br />APPLICATION FOR FEDERAL ASSISTANCE OUR NO all -..to. <br />(FOR CONSTRUCTION PROGRAMS) <br />PART II <br />PROJECT APPROVAL INFORMATION <br />SECTION A <br />Item 1. <br />Does this assistance request require State, local, <br />regional, or other priority rating? <br />Yes X <br />Item t <br />Does this assistance request require State, or local <br />advisory, educational or health clearances? <br />Yes X <br />Name of Governing Body -- <br />Priority Rating ,r <br />No <br />Name of Agency or <br />Board —� <br />No (Attach Documentation) ' <br />Item 3. <br />Does this assistance request require clearinghouse review (Attach Comments) <br />in accordance with OMB Circular A-95? <br />Yes <br />No <br />Item 4. <br />Planning Council <br />Does this assistance request require State, local, <br />Name of Approving AgencyFast rql Fla. Reg <br />regional or other planning approvals <br />Date <br />—X Yes— <br />No <br />Item 5. <br />Is the proposed project covered by an approved <br />Check one: State r' <br />comprehensive plan? <br />Local <br />Regional <br />X Yes <br />No Location of plan <br />Item 6. <br />Will the assistance requested serve a Federal <br />Name of Federal installation — <br />installation? Yeses No Federal Population benefiting from Project <br />item 7. <br />Will the assistance requested he on Federal land <br />Name of Federal Installation <br />or installation? <br />X <br />Location of Federal Land <br />Yes <br />No Percent of Project <br />Item 8. <br />Will the assistance requested have an impact or effect <br />See instruction for additional information to be <br />on the environment? X <br />provided. <br />—Yes—No <br />Item 9. <br />Number of: <br />Will the assistance requested cause the displacement of <br />Individuals <br />individuals families, businesses, or farms? <br />Families <br />Businesses <br />v X <br />.. Farms <br />Itam 10. <br />Is there other related Federal assistance on this See instructions for additional information to be <br />project previous, pending, or anticipated? provided. Economic Development Adm. <br />X Yes No Public Works grant $365,000 Fed. Cat. # 11.300 <br />FORM AD 624 (12-72) PAGE 3 <br />1 <br />3 1977. <br />110ex 31 PAcF 93 <br />J <br />