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r - <br />JAN 91900 Boa 42 RacE 482 <br />U.S. DEPARTMENT OF AGRICULTURE <br />PREAPPLICATION FOR FEDERAL ASSISTANCE Orae No. •o.w016+ <br />PART 11 <br />(Check one) <br />Yes <br />No <br />1. Does this assistance request require State, local, regional or other priority rating? <br />TOTAL <br />(o) <br />1. 10,418 <br />2. Does this assistance require State or local advisory, educational or health clearance? <br />XX <br />3. Does itis assistance request require Clearinghouse review? <br />2. 10,41$ <br />xx <br />4. Does this assistance request require State, local, regional or other planning appmval? <br />xx <br />_�.. <br />5. Is the proposed project covered by an approved comprehensive plan? ` <br />6. Will the assistance requested serve a Federal installation? <br />XX <br />7. Will the assistance requested be on Federal land or installation? <br />xx <br />8. Will the assistance requested have an effect on the environment? <br />5. <br />9. Will the assistance requested cause the displacement of individuals, families, businesses, or farms? <br />XX <br />10. Is there other related assistance for this project previous, pending, or anticipated? <br />s 6,622,740 <br />XX <br />PART III _ PROJECT BUDGET <br />FEDERAL CATALOG <br />NUMBER <br />is) <br />TYPE OF ASSISTANCE <br />LOAN, GRANT, ETC. <br />(d) <br />FIRST BUDGET PERIOD <br />(C) <br />BALANCE OF PROJECT <br />/d) <br />TOTAL <br />(o) <br />1. 10,418 <br />Grant <br />796,900 <br />796,900 <br />2. 10,41$ <br />Loan <br />(Committed)5,825,840 <br />5,825,840 <br />_�.. <br />3. <br />4. <br />5. <br />&Total Federal Contribution <br />s 6,622,740 <br />S <br />$ 6,622,740 <br />7. State Contribution <br />S. Applicant Contribution <br />9. Other Contributions <br />MUMS <br />S 6,622,740 <br />S <br />S 6,622,740 <br />PART IV _ PROGRAM NARRATIVE STATEMENT <br />(Attoch pot Instruotlen) <br />FORM AD -621 (REVISED 5.76) PAGE 5 <br />