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<br />DEPARTMENT OF TRANSPORTATION. FEDERAL AVIATION ADMINISTRATION OMB NO BO-ROIB4 <br />PART III - BUDGET INFORMATION - CONSTRUCTION I <br />SECTION A - GENERAL <br />1. Federal Domestic Assistance Catalog No. . . . . . . . . . . .. 20.106 <br /> <br />2. Functional or Other Breakout .................... <br /> <br />SECTION B - CALCULATION OF FEDERAL GRANT <br /> Use only for rev isions <br /> Total <br />Cost Clossilication Amount <br /> Lo'est Approved Ad justment Required <br /> Amount + or (-) <br />1. Administration expense $ $ $ 500 <br />2. Prel,l!inary expense <br />3. Larid,structures, right-or-way <br />4. ArchItectural engineering basic fees 17800 <br />5. Other architectural engineeri ng tees 3200 <br />6. Project inspection tees 6500 <br />7. Land development <br />B. Relocation Expenses <br />9. Relocation payments to Individuals and Businesses <br />10. Demolition and removal <br />11. Construction and project improvement 158000 <br /> I <br />12. Equipment <br />13. Mi scell aneou s 500 <br />4. Total (Lines 1 through 13) 186500 <br />5. Estimated Income (if applicable) <br />16. Net Project Amount (Line 14 minus 15) <br />17. Less: Ineligible Exclusions <br />lB. Add: Contingencies 9056 <br />19. Total Project AmI. (Excluding Rehabilitation Grants) 195556 <br />20. Federal Share requested of line 19 176000 <br />21. Add Rehéi>ilitation Grants Requested (100 Percent) <br />22. Total Federal grant re(JJested (lines 20 & 21) 176000 <br />23. Grantee share 19556 <br />24. Other shares <br />25. Total project (Lines 22, 23 & 24) $ $ $195556 <br />FAA Form 5100-100 (673) SUPERSEDES FAA FORM 5100 -10 PAGES 1 THRU 7 Page 4 <br />