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<br /> Attachment M <br /> PART II <br /> PROJECT APPROVAL INFORMA nON <br />1t_1. Regional Council <br />ö;;;ïhis oui:1tonc. request reqvire State, local, Name of Governing Body <br />~ionol, or othw priority rating? X Priority Rating <br /> Ves No <br /> <br />~ <br />Does this anistoItc;. ""1141.' require Stet., or local Name of Agfltcy or <br />c:dvisety, .ducctionol 0# h_lth cleoranc..? Boord Regional qT)C1 Gill Acìvi snT'¥ Rry=1rÇJs <br /> X v.. Na (Attoch Docul'lt....tcti~) <br /> <br />~ <br />Ooea this cui stance r...v.sS require cI....i".hous8 (Attoch Comm_ts) <br />r_i- in occordonCII with t)M8 CircuJO# A-95? <br /> X V.. "'40 <br /> <br />~ em <br />Ooos ""is aui stanc. reqvest raq\lw. State, local, Name of Approving Agency <br />r~ionol or 0"",", pla",.ift9 GPfN'ovol? Date <br /> X Ves No <br /> <br />~ <br />Is rite propos8Ò ptoi«t caY...oed by on OpprCI'YH compr.. Chltck one: Stete 0 <br />lIensi". plan? local 0 <br /> X R09lon<11l K1 <br /> Ves No location of PIc" <br />Ihtm 6. <br />Will the asai\l.tanc;e requested s-e a Federal Nome of Federal Insttrllotion <br />instol!c:tion? Ves X No Federal Population ben.fití~ from Proi.¡¡è <br /> <br />!!.!:!tZ:. <br />Will the cuistanc" requ.sted be on Fedet'ollond or Nome of Fed.rallnstallotian <br />iutollation? location of Federol land <br /> Y- X No Percent of Project <br /> <br />~ <br />Will the assistance requested have on impac;t or effect So. instructions far aJditional infomt<lt1on to b. <br />on In. _nviranment? X provided. <br /> Ves No <br /> <br />ItIWtt 9. Numb... of: <br />Will the assistance requested cause the dilplaC:Gf\'t_r Individual s . <br />of individuals, families, businttU4U, or forma? Families <br /> Busineases <br /> Yes X No Forms <br /> <br />Ih:-:'! 10. <br />la rh~r" oth"r r.,larod assistance on this project previous, See instructions EO'. additional information to ~ <br />pønding, or anticipated? pravi ded. <br /> Yo, X No <br /> <br />PHS5161 1 (PAGE 5) <br />!R9V. 3.79) <br />