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4D <br />4P <br />M <br />STATE OF FLORIDA <br />HAZARD MITIGATION GRANT PROGRAM (HMGP) <br />FLOOD MITIGATION ASSIS'T'ANCE (FMA) <br />Application <br />FOR STATE USE ONLY <br />FEMA, -DR -Ft. D Standard HMGP 115% Initlative Application D Application Complete <br />U Standard FMA ❑ Initial Submission or D Rosubmission <br />Support Documents Eligible Applicant Project. Type(s) <br />D Conforms with Slate 409 Plan U State or Local Government n Wind <br />D In Declared Area D Private Non -Profit (Tax ID Received) D Flood <br />D Statewide DRecognzed Indian Tribe or Tribal organization D Other _ <br />Community NFtP Status: (oheckouwt P*) <br />D Participating Community iD #: <br />D In Good Standing EI Non -Participating 0 CRS <br />State Application ID <br />Slate Reviewer <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 (FIMGP) <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 Slate Emergency Management Division al (850) 922-5269. <br />Page 2 of 15 <br />