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o $ 17 ( i o - i s - u n i U N I T E D S T A T E S OF AMERIC A WAR PR O D U C TIO N BOARD APPLICATION FOR AUTHORITY TO ACQUIRE OR CONSTRUCT FACILITIES_______ 6 AUTHORITY TO BE8IN CONSTRUCTION UNDER L - S t I N C L U D I N G : g PR IO R IT IE S ASSISTANCE OR CONTROLLED MATERIALS 1 . T A X A M O R T I Z A T I O N P R I V I L E G E S ARE REQUESTED S YES O NO 2 . O AMENDMENT T O PR E V IO U S A U T H O R I Z A T I O N . G I V E : S E R I A L N O . ____________ ANO O A T E OF I S S U A N C E ______________________________ _ NAME ANO ADDRESS OF A P P L I C A N T ( S t r o o t , City. Z o n e , S t OtO) MUrn m f M U l i M i l Ml* M U MMH I If H I I H M I* 0®Bp®orn j PORN APPROVED BUDGET BUREAU NO. IR-Rilt.S THIS s u e s POM WPB USB ONLY S E R I A L NO . O A T E P R O J E C T A U T H O R I Z A T I O N IS S U E D E X P I R A T I O N O A T E OF A U T H O R I Z A T I O N PRIMARY D I V I S I O N OR AGENCY S PONS ORIN G AGENCY ( I t Any) L O C A T I O N OF Town* hip) M U * n * INSTRUCTIONS - Submit number of copies s s indicated on Instructions Sheet. HEAD SEPARATE INSTRUCTIONS CAREFULLY BEFORE FILLING OUT FORA1. SECTIOf( I - TO IE COMPLETED FOR A L L PROJECTS - ( F o r p r o j o c t o c t d l n f l o o m t hon t 2 3 , 0 0 0 , o n e l a d t n t c o o t of lond, o n d r o q u l r l n t no o q u i p m o n l , e o m p l o t o t hlo o o e t l o n o n l y . ) A . D E S C R I B E T H E P R I N C I P A L S E R V I C E S T O BE REND ER ED OR PRODUCTS T O BE M ANUFA CT URED OR PRODUCED. I . WH AT I S T H E R E L A T I O N S H I P OF T H I S P R O J E C T T O W A R P R O D U C T I O N . E S S E N T I A L C I V I L I A N N E E D S , OR P U B L I C H E A L T H A ND S A F E T Y . C. G I V E S P E C I F I C REASONS WHY T H E P R O J E C T I S SO U R G E N T T H A T I T CANN OT BE D E F E R R E D FOR TH E D U R A T I O N OF T H E WAR. D . I F A M A N U F A C T U R IN G PROCESS I S IN V O L V E D . G I V E B R I E F D E S C R I P T I O N OF T H E PROCESS I N C L U D I N G A G E N E R A L D E S C R I P T I O N OF T H E T Y P E OF E Q U I P M E N T R E Q U I R E D . E . S T A T E WH ETH ER T H I S I S A NEW IN D E P E N D E N T P R O J E C T OR AN A L T E R A T I O N OR AN A D D I T I O N T O AN E X I S T I N G S T R U C T U R E OR I N S T A L L A T I O N . F . G I V E A C L E A R C O N C I S E D E S C R I P T I O N OF T H E C O N S T R U C T I O N S OR I N S T A L L A T I O N IN V O L V E D I N C L U D I N G : 111 G E N E R A L L A Y O U T (Fro)oet llnlto ond rolottou of otrueturoo) (2 1 D E S C R I P T I O N OF S T R U C T U R E S . G I V I N G T Y P E OF C O N S T R U C T IO N (MASON RY, R E IN F O R C E O C O N C R E T E , S T E E L , T I M B E R , E T C . I . S U B M I T A PLAN OR S K E T C H SHOWING P R I N C I P A L D IM E N S I O N S . 8. L I S T E X C E P T I O N S TO T H E C O N S T R U C T I O N L I M I T A T I O N S (S C H E D U LE A T O CMP R E G U L A T I O N 6 ) R E Q U IR E D F OR TH E P R O J E C T , I N - I N C L U D I N G M A T E R I A L OR PR ODUCTS R E S T R I C T E D BY A P P E N D I X I AND E Q U I P M E N T IN A P P E N O I X I I FOR W H IC H S P E C I F I C J U S T I F I C A T I O N MUST BE G I V E N . SHOW FOR EAC H I T E M Q U A N T I T I E S R E Q U I R E D , USE T O WHIC H TH E M A T E R I A L OR E Q U I P M E N T W I L L BE P U T , ANO S U F F I C I E N T REASON T O E S T A B L I S H T H E N E C E S S I T Y FOR T H E R E Q U IR E D USE IN V I E W O F T H E S H O R T A G E OF SUCH M A T E R I A L S A N D ’ E Q U I P M E N T . > N I F YOU H AV E MADE ANY O TH E R A P P L I C A T I O N OR PROPO SAL R E L A T E O T O TH IS P R O J E C T O R ANY PART T H E R E O F S T A T E : NAME OF AG EN CY * AND A OD R E S S T O WH IC H A P P L I C A T I O N OR PROPOSAL WAS S U B M I T T E D AND D A T E ; A C T I O N T A K E N , AND D A T E . I w i l l P U B L I C U T I L I T Y S Y S T E M S BE R E Q U IR E D T O C O N S T R U C T ANY U T I L I T Y S E R V I C E E X T E N S I O N S OR O TH ER F A C I L I T I E S T O S E R V I C E T H I S P R O J E C T . IF*A NSWE R I S - Y E S - ; S E E I N S T R U C T I O N S UNDER " S U P P O R T I N G PAPERS T O BE F I L E D " . E L E C T R I C POWER S l ES 0 WATER YES NO GAS 56 YES NO SEWER Y E S NO J . E S T I M A T E D C O S T (Do not Ineludo ooot of H i i t J n f foellltloa) F E D E R A L FUNDS OTH ER FUNDS T O T A L I T E M U l (b 1 ( C l 1 . B U I L D I N G AND O TH E R C O N S T R U C T IO N -v s a & f O Q O • M M * 2 . E Q U IP M E N T (Totol) M E T A L WORKING O TH ER M F G . OR PR O C E S S IN G O T H E R EQU fPMENT T . OTH ER CO S T S ( B n o l o d l n t L o n d ) i ) , t O T a L C O S T (Baaimdlmt Land) • M M O * 01*0— War Itoaril I.TJ'JIII- |». 1 fty ? I . J . W N