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40 <br />4B <br />STA TEE OF FLORIDA <br />HAZARD MITIGATION GRANT PROGRAM (IIMGP) <br />FLOOD MITIGATION ASSISTANCE (FMA) <br />Application <br />FOR- <br />FEMA-----DR-FL <br />OR <br />FEMA.-DR-FL a 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 4G9 Plan n Slate or Local Government ❑ Wind <br />❑ In Declared Area ❑ Private Non -Profit (Tax ID Received) [] Flood <br />* Statewide ORecognized Indian Tribe or Tribal Organization D Other <br />Community NFIP Status. (crecxamtharap*) <br />D Participating Community ID #: <br />D In Good Standing D Non -Participating <br />State Application ID <br />State Reviewer <br />Mam fi_3 <br />Reviewer Phone <br />Reviewer Fax # <br />Reviewer Email: <br />Data 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 />