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<br /> DEPARTMENT OF TRANSPORTATION. FEDERAL AVIATION ADMINISTRATION <br /> P ART II OMa NO. 80-RO 186 <br /> PROJECT APPROVAL INFORMATION <br /> -~-- <br /> l~~ <br /> Does this assistance request require State, local, Name of Governing Body <br /> regional, or other prrardy rating? X Priority Rating <br /> Yes ____No <br /> "-------"""-----~"------ <br /> lre"r:1 2. <br /> s this assistance request require Store, or loco I Name of Agency or <br /> isory, educational or health clearances? Board <br /> ----- Yes X No (Attach Documentation) <br /> <br /> !.!-em 3. <br /> Does this assistance request require clearinghouse (Attach Comments) <br /> review in accordance wilh OMB Circular A.95? <br /> -~ Yes No <br /> <br /> Item 4. <br /> Does this assistance request require State, local, Name of Approving Agency <br /> regional or other planning approval? Dote <br /> -- Yes X No <br /> <br /> Item 5. <br /> Is the proposed prOlect covered by an approved compre- Check one: State I: 1 <br /> hcnsive pion? Local [J <br /> Regional [l <br /> ------ Yes X No Location of Plan <br /> --- <br /> Ifem 6. <br /> Will the assistance requested serve a Federal X Name of Federal Installation <br /> installation? --- Yes No Federal Population benefiting from Project <br /> -- <br /> 11 7. <br /> I the assistance requested be on Federal land or Naf1,1e of Federal Installation <br /> tallation? Location of Federal Land <br /> Yes X No Perc ent of Praj eet <br /> <br /> Item 8. <br /> Will the assistance requested have on impact or effect See instructions for additional information to be <br /> on the environment? provided. <br /> ---- -- Yes X No <br /> <br /> ~em 9. Number of: <br /> Will the assistance requested cause the displacement Individual s <br /> of individuals, families, businesses, or farms? Families <br /> Businesses <br /> ---- Yes X No Farms <br /> <br /> Item 10. <br /> Is there ather related assistance on this pralect previous, See instructions for additional llìformatiolì to be <br /> pending, ar anticipated? provi ded. <br /> Yes X No <br /> <br /> FAA Form 5100.101 16.7)1 SUPERSEDES FAA FORM 5910-1 AND 5920-1 Page 2 <br />