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C� <br />40 <br />EA <br />STATE OF FLORIDA <br />HAZARD MITIGATION GRANT PROGRAM (HMGP) <br />FLOOD MITIGATION ASSISTANCE (FMA) <br />Application <br />TE USE <br />FEMA- -DR-FL ❑ Standard HMGP ❑ 5% Initiative Application ❑ Application Complete <br />❑ Standard FMA ❑ Initial Submission or ❑ Resubmission <br />Support Documents Eligible Applicant Project Type(s) <br />❑ Conforms with State 409 Plan ❑ State or Local Government ❑ Wind <br />❑ In Declared Area ❑ Private Non -Profit (Tax ID Received) ❑ Flood <br />❑ Statewide []Recognized Indian Tribe or Tribal Organization ❑ Other <br />Community NFIP Status: (check all that apply) <br />❑ Participating Community ID #: <br />❑ In Good Standing ❑ Non -Participating ❑ CRS <br />State Application ID <br />I State <br />Reviewer Phone <br />Reviewer Fax # <br />Reviewer Email: <br />Date Application Received <br />Date: <br />This application is for all Federal Emergency Management Agency (FEMA Region IV) Hazard Mitigation Grant Program (HMGP) <br />and Flood Mitigation Assistance (FMA) proposals. Please complete ALL sections and provide the documents requested. If you <br />require technical assistance with this application, please contact your State Emergency Management Division at (850) 922-5269. <br />Page 2 of 15 <br />