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<br /> Attachment M <br /> P ART II <br /> PROJECT APPROVAL INFORMATION <br />It "'" 1. Regional Council <br />DoeI5 !hi$ o:uistance request require State, local, Name of Governing Body <br />regian<ll, Of ather p,iority rating? Priority Rating <br /> X '1'8$ No <br /> <br />h- 2. <br />Does this assistance request require State, or local No",. of A~ib or , <br />cdvillQry, educatiOl"lcd or h_lm decranc..? Soard R . 1 nal and CJD AdvlsOry Boards <br /> <br /> X '1'~u No (AnCIen Documentation.) <br /> <br />Item 3. <br />Does mi$ aui stenee requ...t require cI_,in9¡'ou..8 (Attoen Comm_ts) <br />revi- in accordance with ()Me Circular A..9S? <br /> X Ye. No <br /> <br />(t_4. CJD <br />Does this ouistance reque.t require State, 10<:131, No",. of Approving Agency <br />rl\!'Øiol'\<Cll or 0*'- planning approval? X Dote <br /> Yes No <br /> <br />It<tl'!'l 5. <br />Is the proposed project covered by on app(O'Ied comp'" Chœck one: Stote 0 <br />hensiv" plan? Local 0 <br /> X RegionGI ~ <br /> Yes No Location of Plan <br />Item 6. <br />Will the auistonce requested s_e a Federal Name of Federollnstallation <br />instal latian? Yss X Na F.deral Populatio.,. benefiting from Proj_t <br /> <br />hÐ1'ft 7. <br />Will ri1. assistance requested be on Federal land or Nome of Federal Installation <br />il'lstoilation? Location of FEtderol land <br /> Yes X No Percent of Project <br /> <br />It~ 8. <br />Will the ouistonce requ.sted have On impact or effect See in $trvct ions for additional information to be <br />on the environment? provided. <br /> Yes X No <br /> <br />!t'itm 9. Numb« of: <br />'Nill the auistoßce requuhtd couse ¡ ,e ¿ifiplacement Individual $ <br />of individuals, families, busine$s!:ts, or form$? Families <br /> X Busineu.e$ <br /> Y,u No Farms <br /> <br />! t "'fII J.Q.. <br />Is there other related assistance on ¡ ,is project previous, See instructions for. odditiOflol information to be <br />¡>!Indin\;, or onticip<lted? X provided. <br /> Yes No <br /> <br />PHS 5161 1 (PAGE 5) <br />[Rav. 379) <br />