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<br />INSTRUCTIONS: <br /> <br />a. Press F1 for help for each field. <br />b. Navigate through the form by using the TAB key or the mouse to highlight and enter data in each field. <br />c. All Questions in RED are required. <br />d. Documents attached must be in version WORD 97 or above or WORDPERFECT 6.0 or above. <br /> <br />(R8-PA-5/1/2004) <br /> <br />-------------------------------------------------------------------------------------------- <br />-------------------------------------------------------------------------------------------- <br /> <br />PROJECT COUNTY: >ICASsl <br />CONGRESSIONAL DISTRICT: >11] <br /> <br />PROJECT COUNTY: >0 <br /> <br />PROJECT COUNTY: >0 <br /> <br />COMMUNITIES: List all Communities associated with this project. Cost Effectiveness must be completed for each <br />Community (see Cost Effectiveness below) <br /> <br />Enter Community # 1: . > !ALL COMMUNITIES IN THE STATE OF NORTH DAKOT~ <br /> <br />Enter Community # 2: . > 0 <br /> <br />Enter Community # 3: . > c=J <br /> <br />Enter Community # 4: . > c=J <br /> <br />Enter Community # 5: . > 0 <br /> <br />Enter Community # 6: . > 0 <br /> <br />Enter Community # 7: . > 0 <br /> <br />HAZARD TYPE: REQUIRED (WHAT HAZARD WILL THIS PROJECT PROTECT AGAINST?) <br />CHECK FROM THE FOLLOWING LIST (MORE THAN ONE CAN BE CHECKED) <br /> <br />BIOLOGICAL <br />CIVIL UNREST <br />CROP LOSSES <br />DROUGHT <br />FIRE <br />FLOOD <br />HUMAN CAUSE <br />LAND SUBSISTENCE <br />NUCLEAR <br />SEVERE STORM(S) <br />SPECIAL EVENTS <br />TORNADO <br />TROPICAL CYCLONES <br />TYPHOON <br /> <br />[gJ <br />D <br />D <br />D <br />[gJ <br />[gJ <br />[gJ <br />D <br />D <br />[gJ <br />D <br />[gJ <br />D <br />D <br /> <br />CHEMICAL [gJ <br />COASTAL STORM D <br />DAM/LEVEE BREAK [gJ <br />EARTHQUAKE D <br />FISHING LOSSES D <br />FREEZING [gJ <br />HURRICANE D <br />MUD/LANDSLIDE D <br />SEVERE ICE STORM [gJ <br />SNOW [gJ <br />TERRORIST [gJ <br />TOXIC SUBSTANCES D <br />TSUNAMI D <br />VOLCANO D <br /> <br />13 <br />