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<br />DEPAR(MENT OF TRANSPORTATION. FEDERAL AVIATION ADMINISTRATION <br />0"'& NO, eO-ROil' <br />PART II <br /> <br /> <br />PROJECT APPROVAL INFORMATION <br />SECTION A <br /> <br />Item ,. <br />Does this assistance request require State, local, Nome of Governing Body <br />regionol, or other priority rating? Priority Roting <br />Yes :x No <br /> <br />tem 2. <br />)oes this assistonce request require State, or local Nome of Agency or <br />advisory, educational or health clearances? Boord <br /> <br />Yes X No (Attach Documentation) <br /> <br />Item 3. <br />Does this assistonce request require clearinghouse review (Attach Comments) <br />in accordance with OMB Circular A.95? <br /> <br />X <br />Yes No <br /> <br />Item 4. <br />Does this assistance request require State, local, Nome of Approving Agency <br />regional or other planning approval? Dote <br />Yes X No <br /> <br />Item 5. <br />I s the proposed project covered by an approved Check one: State ..- " <br />comprehensive plan? Local .....~ <br />X Regional :: : <br />Yes No Location of plan <br /> <br />Item 6. <br />Will the assistance requested serve a Federa\ X Nome of Federallnsta\lation <br />installation? Yes No F'ederal Population benefiting from Project <br /> <br />Item 7. <br />Will the assistance requested be on Federal land Nome of Federal Installation <br />or installation? Location of Federal Lond <br />Yes X No Percent of Project <br /> <br />Item 8. <br />Will the assistance requested have an impact or eHect See instruction for additional information to be <br />on the environment? provided. <br />Yes X No <br /> <br />Item 9. Number of: <br />Will the assistance requested couse the displacement of Individual s <br />individuals fomilies, businesses, or forms? BFam,ilies <br />uslnesses <br />Yes X No Farms <br />Item 10. <br />Is the,e other rei ated F ede,a as si stonce' on thi s See instruct ion s for addit ional information to be <br />project previous, pending, or anticipated? provided. <br /> <br />Yes X No <br /> <br />FAA Form 5100.100 (6-73) SUPERSEDES FAA FORM SlOo-IO PAGES I THRU 7 Page 2 <br />