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Mitigation Action Worksheet for Stakeholders

  1. Please explain the impact of the selected hazard specifically related to people and property . Please include an address or approximate location (near a particular intersection, upstream from a certain crossing, wooded area on west side of XXX Road, etc.)

  2. Please describe the action/project that could address or mitigate the hazard identified above.

  3. Who benefits from this action or project?  In what way(s)?

  4. Are there other issues to consider when discussing this action/project?

  5. Thank you for your interest in hazard mitigation action/project identification.  Your input on this worksheet will inform this planning initiative insuring there are actions/projects for each hazard and within each municipality.

  6. To follow the progress of this planning initiative, go to

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  8. This field is not part of the form submission.