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<td colspan="12"><p><strong>REQUIRED STATEMENTS</strong></p>
<h3 id="airport-improvement-program-projects">AIRPORT IMPROVEMENT
PROGRAM PROJECTS</h3></td>
<td></td>
</tr>
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<td colspan="4"><strong><u>AIRPORT</u></strong>:</td>
<td colspan="8">     </td>
<td></td>
</tr>
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<td colspan="5"><strong><u>LOCATION</u></strong>:</td>
<td colspan="7">     </td>
<td></td>
</tr>
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<td colspan="6"><strong><u>AIP PROJECT NO.</u></strong>:</td>
<td colspan="6">     </td>
<td></td>
</tr>
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<td colspan="8"><strong><u>STATEMENTS APPLICABLE TO THIS
PROJECT</u></strong></td>
<td colspan="4">     </td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="2"><strong>a.</strong></td>
<td colspan="10"><strong><u>INTEREST OF NEIGHBORING
COMMUNITIES</u></strong>: In formulating this project, consideration has
been given to the interest of communities that are near (Exact name of
airport)<u>     </u>.</td>
</tr>
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<td></td>
<td colspan="2"><strong>b.</strong></td>
<td colspan="10"><strong><u>THE DEVELOPMENT PROPOSED IN THIS
PROJECT</u></strong> will not require the use of publicly owned land
from a public park, recreation area, wildlife and fowl refuge, or a
historical site under Federal, State, or Local jurisdiction.</td>
</tr>
<tr class="even">
<td></td>
<td colspan="2"><strong>c.</strong></td>
<td colspan="10"><strong><u>FBO COORDINATION</u></strong>: The airport
development proposed in this project has been coordinated with the Fixed
Base Operator(s) utilizing (Exact name of airport) <u>     </u>, and
they have been informed regarding the scope and nature of this
project.</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="2"><strong>d.</strong></td>
<td colspan="10"><strong><u>THE PROPOSED PROJECT IS
CONSISTENT</u></strong> with existing approved plans for the area
surrounding the airport.</td>
</tr>
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<td colspan="13">The above statements have been duly considered and are
applicable to this project. (Provide comment for any statement not
checked).</td>
</tr>
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<td colspan="7"><strong>BY:</strong></td>
<td colspan="2">     </td>
<td>DATE:</td>
<td>     </td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7"><strong>TITLE:</strong></td>
<td colspan="4">     </td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="7"><strong>SPONSORING AGENCY:</strong></td>
<td colspan="4">     </td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="13"><strong>NOTE: Where opposition is stated to an airport
development project, whether expressly or by proposed revision, the
following specific information concerning the opposition to the project
must be furnished.</strong></td>
</tr>
<tr class="odd">
<td colspan="2">a.</td>
<td colspan="11">Identification of the Federal, state, or local
governmental agency, or the person or persons opposing the project;
<strong>     </strong></td>
</tr>
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<td colspan="2">b.</td>
<td colspan="11">The nature and basis of opposition;
<strong>     </strong></td>
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<td colspan="2">c.</td>
<td colspan="11">Sponsor's plan to accommodate or otherwise satisfy the
opposition; <strong>     </strong></td>
</tr>
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<td colspan="2">d.</td>
<td colspan="11">Whether an opportunity for a hearing was afforded, and
if a hearing was held, an analysis of the facts developed at the hearing
as they relate to the social, economic, and environmental aspects of the
proposed project and its consistency with the goals and objectives of
such urban planning as has been carried out by the community.
<strong>     </strong></td>
</tr>
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<td colspan="2">e.</td>
<td colspan="11">If the opponents proposed any alternatives, what these
alternatives were and the reason for nonacceptance;
<strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="2">f.</td>
<td colspan="11">Sponsor's plans, if any, to minimize any adverse
effects of the project; <strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="2">g.</td>
<td colspan="11">Benefits to be gained by the proposed development; and
<strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="2">h.</td>
<td colspan="11">Any other pertinent information which would be of
assistance in determining whether to proceed with the project.
<strong>     </strong></td>
</tr>
</tbody>
</table>