City of MooreForm CDBG-DR 16

4/20/15

National Objective Check National Objective Check National Objective Check

Low Moderate Income AreaN/A Low Moderate Income

Clientele/Households/Persons N/A Urgent Need X

Boundaries of Service Area

Documentaion that the beneficiaries are presumed to be low/mod (by category) N/A

Moderate or above income households: self-certification N/A

Census Data: Total Persons-Low/Mod Persons-% Low/Mod

N/ALow-Mod income households:self-certification N/A

Evidence the project or household was directly impacted by the Disaster Events

N/AEvidence area is primarily Residential

See Map

Certification that other financing resources were unavailable to the City or the Household

Survey Documentation N/A

Grants Manger Signature Date6/14/2016

National Objective Determination Checklist

EastmooreProject NameWork Order Number I-11-E-URG

**The appropriate documentation as indicated in the checklist above is attached to this form**

N/A

N/A

SE 4th St

SE 12th St

S Eas

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Bouz

iden D

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S Patt

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Dr

Avery

Dr

Swee

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St

S Ave

ry Dr

SE 9th St

SE 10th St

SE 13th St

S Mor

gan D

r

SE 11th St

S Silv

er Le

af Dr

S Eng

lish D

rEn

glish

Dr

SE 12

th Ct

Avery

Dr

SE 9th St

Bouz

iden D

r

S Patt

erson

Dr

S Mor

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¯Tornado Map

EastmoorAdditionStreet Panels Repair

I-11-E-URG

Legend2013 Tornado Damage

Street Panel Repair

Possible Drainage Work