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A$. Busing Use (e.g., Residenbi, NmrReMdentlel, Addition. Aooeaory, eft.) SEB , <br />AS. Ldt defloingbWa: LjL 1 W 9' e61M Lely. jr 4j, .OWN -: Nnkrodel0ehenr ®. NAD ISV 0 KAD 1089. . <br />As. Ated stlseat 2 phot0prspM dOp Wkti g liths Caftase to being used to ne w, flood iamomwe. - <br />A7. eu8ahig As. Fa a bio vft a mmrbpow a1 eadaama(sy Ag. Fera 11,180 g wSh sn attedeaf garage: <br />a) SPan'8 bolas of o aoevendoaee(q p R - e) Square wage of 98mftd garage 21 sqft <br />b) No. ofpsmarmdflood openings bthe (rawhipeeeor b) No.alpa dlbodap *Wln*ws6edledgmp <br />alabwee(s) wRldn,1.0 bat above agpasm grade wd in 1.0 foot above 81800M grade $ <br />Q TatM rretetea of.Soed apadnpt h ABb ' - _ aq In 0) TOM net OM CCbW apwdngs b AOb fin sq in <br />d) E gineaad good I cimmings? . Q Yes Q we . d) SWInewed good opadngaT ,® Yes ❑ No <br />.. QCFTNYIO C, M••AM,M��IM www u��.r-.. .-.� <br />I W&W COUNTY 166168t0S80 C) I lfAV8mchu 7Y(►jpyyg' <br />04. MWft Nurnber <br />168168 0860 <br />05 -Suffix <br />0880 c <br />Oso <br />:ffodkafflbv sed Dade <br />Zane($) <br />AO. use base good dW&) <br />IIVA•_ <br />❑ bat 0 MOM Mumto Rim oft <br />2 APR 2004 <br />1S M 1886 <br />AE, <br />106.6 <br />v,v. nwwew vas evww m um Ysee rove CIOreYo11 (YrCI Wm Or YOM 900Y a0p01 BmareG 111=mug- <br />0 <br />=86.❑ FIB Pm®e ® FIRM Q Cmnmurft Oelwmbed Q OSIm (Desats) _ <br />611. WCAde aovellon ddran used for BFE in Item N: ® NM 1628 Q NAV01988 ❑ Omar (DeMdbe) <br />812, lawn in a Coastal Barrier Reu traM Synem (CC6 Mmmea or Oa probe Area (OPA)? Q Yea ® No <br />SECTION C - BUILDWO ELEVATION INFORMATION (SURVEY REGUWO) <br />C1. Bustling e1sve8ons are based on: Q Constnaatlon Orawbgs• Q Busar8 Under Comeau al• ® Fkdatbd Cordon <br />•A new Ebvado n CeNBaats vA be requbed when aomlaaatlon at do bubding Is eornpbb. <br />C2. EMw ba -Zones A1-0.10. AE. AN, A (wdh WQVE, VI -V30, V (w8h SFE), AR, ARJA, ARAE. AR(AI A90. APAH. ARfAO. Compote Rome cu h <br />below 80001 ng b 6m buMe dla8mn 4 flied b Item A7. Uee the sass! deben as the SFE.. <br />BanclmlwitUelbed ROADVe1ticM Oaaan <br />Cawmsl wcommerft _ <br />- <br />Check fro nlanummd used. <br />a) Top of' Som (kbkldklg basement, eraYtapac r, or mwMm ro Seal J" <br />®bet Q meom(Puetto Rloo maty) <br />b) Top ofthe next hig1mr Ga r <br />IIVA•_ <br />❑ bat 0 MOM Mumto Rim oft <br />q Bosom of the bwast Mahn esuoeuat mmn6a (vIonto ordy) <br />NiA•_ <br />❑ east E3 MOM (Puado Roe ady) <br />q Af chod garage (mp of ebb) <br />191M <br />® fend ❑ malas (Puede Rio a* <br />e) tawost ebvatlon of frdmh aryor equlpmeM awvikp the bdldlne <br />ly@.p <br />® fed ❑ metas Puerto Rico a*) <br />(Desats Ape oteglrmmant amt boa6on b Commerlb) <br />f) I.awad admMrd(Anbhed) Orede read b Du019(LAO) <br />14112 <br />® fast ❑ metas (Puerto Rico ow <br />g) Nighed egeoard (/meted) grade next to W"V (NAO) <br />Join <br />®bet ❑ maim (Punto Rio mrd» <br />h) Lowed ed)scem Fade at teed ataaatbn of dean or stabs, boluAbg <br />lalz <br />CO 160 ❑ meters Puede Roo cmW <br />InfamaAon. I COW Met the mfamaSal on boa C fV&, o npreselde mybea etbrb to bdmpW she date evaAeble.l ---. <br />understand that anybdse statement maybe pawahmWe byline orrmpnsonmew ander t6 U.S. Cods, Section 1001.0 <br />Check hero R =memo aro provided an beck of form. Were, Initde and f o gtlds in Season A provided by e <br />boom ed Land surveyor? ® Yee Q No <br />CorWe Nemo PA HMURPAYLPLS Ucerwe Number L6-7868 <br />U* L"kWD LAND Company e P Y6 CIA E6, <br />-- - -- - VOR <br />.t-- <br />Fodn <br />Sae reverse <br />an <br />