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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 /> <br />ALTERNATE CONTACT: <br /> <br />NAME: <br /> <br />TITLE: <br /> <br />ORGANIZATION: <br /> <br />ADDRESS: <br /> <br />CITY: <br /> <br />STATE: <br /> <br />ZIP CODE: <br /> <br />DIRECTIONS: <br /> <br />CARRIER CODE: <br /> <br />USPS BAR CODE: <br /> <br />>ILEON SCHLAFMANNI <br />>IEMERGENCY MANAGER! <br />>!CASS FARGO EMERGENCY MANAGEMENl1 <br />>~630 15 AVENUE NORTHI <br />>IF ARGo! <br />~ <br />>158102-58011 <br />>c::::J <br />>c::::J NOT APPLICABLE AT THIS TIME <br />>c::::J NOT APPLICABLE AT THIS TIME <br /> <br />LOCATION CODE (if any): >e::::::::J <br /> <br />NOT APPLICABLE AT THIS TIME <br /> <br />LONGITUDE: <br /> <br />LATITUDE: <br /> <br />TELEPHONE: <br /> <br />FAX NO: <br /> <br />E-MAIL ADDRESS: <br /> <br />NOT APPLICABLE AT THIS TIME <br /> <br />>e::::::::J <br />>e::::::::J <br /> <br />NOT APPLICABLE AT THIS TIME <br /> <br />>1701-476-40661 <br />>1701-476-40201 <br />>ILSCHLAFMANN@CITYOFFARGO.COMI <br /> <br />4 <br />