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and C—FFoor Nho <br />Items Et -E,. e naluN ro harms £t -ES. Ile. COOCAN 6Intended to support a LOMA or LOMci <br />R -F request, mplata Sections A, B, <br />grade, t available. Check the measurement used. In Puerto Rlto only, enter meters. <br />Ep. Provide elwation trdorma6on for the followanp and check the appropriate bores 10 snow whether the elevation isabove o below the hlgtteat adjaaeM <br />trade (K4,G) and the lowest adjacent grade (LAG). <br />b) Top ofbbotom orn a o (�u�9 n4 aewlapao9, or enclosure) Is __ _ ❑ feet ❑ motors ❑ above or p below me HAG. <br />E2. For Building Diagrams"with (NckWtnt baaemenl ,d o p min or entloed Is _ _ ❑ feet ❑ meters ❑ above or ❑ below On LAG. <br />(elevation C2.b lo Permeant tang i operongs provided in Section A nems 8 and/or 9 (see apes B-9 of lnhtrultigs), the red fiphar floor <br />diayems) of the building te E3 *81 ❑ meteB ❑ above or Lj below the HAG. <br />E8. Atadgarage fop of tertd/w apu_ j] feat m m 0 above or [3 below the HAG. <br />E0. Top of rM plelform of machateryslab) a�13tmem seMclnp ae building Is must __ _ ❑teat ❑meters [3 above m.❑ below she NAG. <br />E8. Zone AO Dray: N es flood depth Iaallbaf ten. The le, u the top of the botlon floor elevated in accordance with the ODrhYrh <br />orotharcoe7 13 yes [3 No ❑. Unknown. The local off" must 1bodPlaln marlagereM <br />ceNN this infomnaaon in Section G. <br />The property owner owners sutlha' lbpntaeld9tye whocompetes Semon A. B, and E For Zone A (without a fEMAassim <br />ed OrmrMmty.Imnd BFE) <br />OF Zone AO roue signn Mere. The edlmanlo in Sactons A, B and E are correct ro tee best of my krr Vooa. <br />Address <br />'city State ZIPCbds <br />• fiignabee Date .: Telephone <br />Cammw a <br />SM 13 of las Elevation CerlNeate. Complete the o —-......._. 'i F w,.„a,u'y 0. Pete mansgsmert ordinance can WRO teSOdk-r s A, S. ITC(or E) <br />aPD1IYable itertt(s) and sign below. Check the measurement used in Items Go and G9. <br />Gt. ❑ The Information in Section C was taken from other documentation flet has been al and sealed by a licensed surveyor, engineer, or arctmct who <br />Is authorized by law to MIJIFY elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) <br />'G2. ❑ A community omclat completed Bactlon E for a buildup located in Zone A (without a FEMA -issued or community4la ued SFE) or Zone AO. <br />G3. ❑ . The following information fatems G449) I$ Provided for community, floodplain management <br />tip. Porrrtlt Number G8. Date Pormt Issuetl purposes. <br />ce <br />fCm len <br />opntye mO <br />GT. This pens- nes been usual; for ❑ New Construction ❑ Substantial I <br />nhprovemem <br />,GB. Elevation of as-0ura lowest flow (nctudkp basement) o the bulling: _ _ ❑ feet ❑ meters (PR) Datum <br />G9. SFE w (in Zone AO) depth of flooding at be briding one: ❑ feet ❑miters (PR) Datum <br />G10. Community's design flood elevation <br />❑ feet C meters (PR) Datum <br />Local Olflctal's Norte - <br />Tide <br />Community No TMeGftoce <br />r ...._ <br />Check here It ahachmell <br />Replaces all previous editions <br />