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tr <br />C3 <br />0 <br />STATE OF FLORIDA <br />HAZARD MITIGATION GRANT PROGRAM (IIMGP) <br />FLOOD MITIGATION ASSISTANCE (TMA) <br />Application <br />USE ONLY <br />FEMA--'AR•FL O Standard HMP ❑ 5% Initiative Application ❑ Application Complete <br />0 Standard FMA El Initial Submission or 0 Resubmission <br />Support Documents Eligible Applicant Project Type(s) <br />R Conforms with State 409 Pian d State or Local Government 177 Wind <br />❑ In Declared Area © Private Non -Profit (Tax ID Received) ❑ Flood <br />❑ Statewide ORecognized Indian Tribe or Tribal Organization ❑ Other <br />Community NFIP Status: (ChKk all thalaWy) <br />p Participating Community ID #: <br />to In Good Standing 0 Hon -Participating D CRS <br />l State Application ID <br />State 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 (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 />