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<br /> Attachrœnt M <br /> PART II 0.... NO. 80.RO In <br /> PROJECT APPROVAL INFORMATION <br /> hem 1. <br /> Does Ihis assis'ance requesl require Slate. local. Name of Governing Body RegionaJ. Council <br /> regional. or ather priotity rating? Pflority Rating <br /> ~ Yes _No <br /> hem 2. <br /> Does this assislance request require State. or local Nome of Agency or <br /> advisory. educational or health clearances? Board Regional and CJD Advisory Board <br /> ~Yes__Na (Allach Dacumen'atian) <br /> hem 3. <br /> Does this ass,.'ance reques' require clearinghouse (Attoch Comm,,"'s) <br /> review in accordance with OMB Clfculor A.95? <br /> ~Yes No <br /> <br /> hem 4. <br /> Does this assi s'ance request require State. locol. Nome of Approving Agency CJD <br /> regional or other planning approval? Dote <br /> ~Yes_No <br /> hem 5. <br /> h the proposed project covered by on opproved compr.... Check one: Stote r. : <br /> hensive plan? local r~ j <br /> ~Yes_No Regional XX! <br /> location of Plan <br /> hem 6. <br /> Will the assis'ance requested serve a Federal Nome of Federol Installation <br /> installation? - Yes -1Q:lNo Federal Population benefiting from Protect <br /> <br /> (¡- 7. <br /> Will the assis'ance requested be on Federol land or Nome of Federal Installa'ion <br /> inslallo'ion? locotion of Federallond <br /> - Yes~No Percent of Project <br /> <br /> hem 8. <br /> Will the ossis'ance reques'ed hove an impocl or eflect See instruclions fo' odditional information to be <br /> on the enviranmen'? p-ovided. <br /> - Yes --XX.. No <br /> hem 9. Number of: <br /> Will the assistance requested cause the displacement Individuals <br /> of individuals. families. businHses. or forms? Fomilies <br /> Businesses <br /> _Yes--1QlNo Forms <br /> <br /> hem 10. <br /> Is there other related assistance on this project p",vious. See instructions for additional infarmotion to be <br /> pending. or anticipated? ---'- Yes~No provided. <br /> !!!!!ill.: <br /> III the p-oject in a deeignate<l flood haza,d ar8a1 Sa8 instructions for additional information to <br /> _YaS~NO be p-OYided. <br /> Exhibit M-3. Application for Federal Assistance (Nonoonstructicn <br /> Programs) <br /> (Page 5 of l3) <br /> 15 <br />