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these HILO or HI OR Section For Insurance Company use: both Bid" of this Elevation Certificate for (1) community official, (2) Insurance agenvcompany, and (3) building owner. lents from Me Floor of water heater room For Zones AO WW A (wimout BFE), complete ffems Et -E8. If the CerBlkete is intended to Support 8 LOMA or LOMR-F request, complete Sections A, B. WAC. For Items E11-54, use natural grade, N available. Cheek Bre measurement used. In Puerto Moo only, enter meters. E1. Provide elevation Information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (NAG) and the lowest adjacent grade (LAG). e) Top of bottom floor (Including basement crawl space or enclosure) Is = ❑ feet ❑ metes ❑ above or ® below the NAG, b) Top Building bottom floor (Including basement credo penin, or Provided In Is ❑ fest ❑ meters ❑ above or below the LAG. E2. For Allo ng Db In the fag am permanent good openings provltleA in Seaigp-P Items 8 gpp/or 8 (see e 8 of Instructions), the next higher Now (etached garage In the diagrams) of the building le _ ❑}eat LJ meters 5 above or below the NAG, E3. Attached garage (top of alar) is __ ❑ feet ❑ meters ❑ above or ❑ below the NAG. E4. Top of platform of machinery and/or equipment servicing the building is _, ❑ feet ❑ meters ❑ above or ❑ below the NAG. E8. Zone AO on!L If no flood depth number is avellable, Is the top of the bottom Noor elevated In accordance with the community's floodplain management ordinance? Yes ❑ No ❑ Unknown. The local official must cerily this Information In Section G. The property owner or owners authorized representative who Completes Sections A, B, and E for Zone A (without a FEMA-IssuWN ed or community -Issued SFE) or Zone AO must sign here. The statements in Sections A. B, and E are correct fo the best of my knowledge. ZIP Comments and G of this Elevation Certificate. Complete the eppllcable Item(s)�and sign beloMu w sCheek tore meaatn surrement used In Items GO. can andtGOO.ectlons A. B, C (or E), G1. ❑ The Information in Section C was taken from other documentation that hes been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community oNlclel completed Section E for a building located In Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO. G3. ❑ The following Information (Items G4. -G8.) is provided for community floodplain management purposes. G7. This permit has been Issued for: ❑New ConaWction ❑Substantial Improvement G8. Elevation of 8"uill lowest floor (including basement) of the building: G8. BFE or (in Zone AO) depth f fio ❑ feet ❑ meters (PR) Datum i; gat the building sl "N) °�o�ort.r ❑feel 1:1 meters (PR) Datum an/ o Publk Local Oflidal's Name �r+q'rlgp ri-_„ Division has te%49Wod Title Community mvName _evarron or ata a qq Telephone 7" does not FEMA Form 81.31, February 200 Replaces all