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<br />74 PonahiEwai._Street,
<br />STREET A4_'0FWV-'
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<br />Hills Hawaii 9620
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<br />t;'ria famr to •ta r~air ,;xsrnpple}tsxi by f~ sr+d a u vAyt%�wn; �r3rn�• of Ct�tllitft;C ±i�i�d IS dtur�b�n;<fii;) INi' 4�r�?s lett�� E {ertis�. et9 tu#st atictriivKdrr�%, ►Vh+Rn the trteir�fron
<br />informalk)n Ax z(niN r1fA.0, Ail All, f1fr,+it r3�d i i -v"11), VF, and V(wd?h .!VT)I hit rpgr.wi•d. In file erg ate 0! & I,wi0m,1 i'.iftflaw. pr+ pmyr
<br />Owner, or t1m) mipewr's rvpapsent, d, r sh,au�� ,ax 'H the iUir•,rmmetvl.0 In �+ aftii l six;' rarilr a wo-0 do este• cert rkatst a s7rr.r�unrt� o{lirrthr who rre
<br />aUir?{)/_?0C1 toy iO4:M krw c+r arxfi'tra ru a to tArt;r 06!/Alrt c, lfjlt i►n dtni il'!fr?rrtlriltll7J7 PIRlIt W.) S Etpli7{?iiatlt Hrr:r fOrrt7-._._,__-.-
<br />.� ._ .. r • <;i�aTir•;it� l; i3111I_[�I�i�i El.l'1i",1iTi�t';+HiiIlhliiiFf{Q>di���iNl
<br />1. Using the Fie: d Insuurtt.noe IIifAlual ilr 111E1 I PIP Fulod Insursiml t4ixp!.Icar)ofI- _a,•eurt 9 Wt: cv*st, i•ndie:a.taa Aa rutllatS!, diagrafn numberz-
<br />2. FIRM 201W; A I•A30., i j,&, and k ,'vAttl BF E), 1hs top,3f We refurwielio 14re-W W.w feott" tine ±Fsie[iltKI ;i1al;' "ram i,s ,st an
<br />elevation ot._) L _L.___t+aft NOVO. (cr ntfW drat: utri-- 01f ifs)
<br />9. FIRM Zoneat Vb•V8i,7,'VE. Pell V tw!fta Vfe�), The Wttcm, c;f thai. f*Yfwl t hor->C i•tutd Sala-u_turld rwilbier A 01,11 !e1{s:aItala3 letvei Hvor from
<br />the saowtoo diagrapl Vj at stn eleve:Wn otfee3 NGW(or ohelr i alurn -880 AS) -
<br />4. FIRM Zone A0, The flocir m9d aB t:ilmi rafaniones ftavei ho'rti tori 3e18n ttyCl t1lograim ii -f•_ 1081', ar tit -34m,10 r1,s'tulrail grades next to
<br />the building ($1#ra rotate In k 8). 1Wit +'alae+ Inwr1 be aural to -ui'gritowler then ttiv A0 Z:+.ne fioa)i 4gj)(11 1019d 15i91t►w. If no
<br />fa(3t)If ,Cl9pth nulrriber is, arra let�ie, 3 ttl;a ttwildirNI'a[-]No k)we"aslr-irix i.'xer rei!er� wb- Wifol) olara#teal In #i;i(..Vr�;talxri mfath -Jut community's
<br />ttOOdpliaira RtNPlsa6nierlt ,err litiasrlcttaP D Yin C,1 Un"iG"omn
<br />S. Indiealte ftIR4i its-tOn tutu!"rl syt:�kwn tufted in i�ish;iTrsinfnq the i!t mpt) ralftwwwoc:rt usue w-1411' (dewribe on beak)
<br />6. indicalte ttie etipmMion idatttlrn syatars: tistiod ,on ttrie FIRMA kir bass a flood N01vD Ej0ow'? (itl):j,';►N, to tsaiA)
<br />jAT7T-NTG11. N 0a adawaitc i datum 1,45-1-d in 7Mw,r7ng fto adgar$5!iGsw hr d!diwwir Awn Mill usltaet &I tto FAiiiII, renal M-11ektr.�"tka ��avlcfav
<br />MW.b@ (!w: VSn&d 14; talo (141114= .111V ll'?v wiloo an tura AWAV.)
<br />"Is the relerelno level :taase,cl on iaGtrttt:! C lulMtrr,It:tif,19'� 13'1164 FO NA)' '
<br />' A "No" ar' blur is 0111ty VAitd it tho t�'U l rtv ikwl not h -wile tlYm re#!ilvRiwe teiviiiitt fla: r its IN aes. INN in ft: e110-o3la#Na Ii,iaoj<1n Wgruo-
<br />tion dr'iltrrirgi :tti7d rel,) rtaf cwnpielo ua,"Itictia 48, irf "Ih1ip" ED (:hock id, thin (x,,0 fig n1k)n w it be! iridic 'atilt frill- biJiidin,p in tiu 4 toume of
<br />cansatructi Nie After cclrratruvtbon o'a Ih mllentwi0t! 4wwol fk!or Vt wrf9taaG3d, ai I: A14,4311-StI1,11tioil 64W.911143ri wil'tifimit)-i ii tin required for
<br />oWinued ic,af insu'raalc,a wwwa;te.
<br />8, Pr"4e The 1`olkiwing rntla►Furiirrildl'!x aSirtlfy Me la aura!I gide r'tan to ti°as it>uAGt ig (I*jf c) :0 0* ra4"ar•1a#i •1xal)-
<br />a. The ralteromw Ievei i5_ kll- Tho Ii;miriaget ftnor (if apptlfcaf; !) iP:
<br />151fiw flabi3in!t CItariow (,hasf;ic ona} i:haa hiWnst girdle!. LJ ... Ji% -m C_iai;l3Vi; EDW, CNN 1'41wac iuxtill the 4ighetat grafi,
<br />iWLJ fret C3;at)MN0 C 1 t e ('hnrx.!c ,.sn al• OW1 lowinj brad?ra U -_Nuel El all nfr3 C--1 betcaw l; 1;!11:X:11: r:ULFI; tiie kWt"d grarei.
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<br />Provide the fo4miiing frorn the evoper FIRM (a+san Inaotrudkirt:! on I itck.-tE .;ds cot 1911 M) ald a 54rxraiuovimp 'I1rsa,irtflla,>a opawbon:
<br />MIN - . eiTi iii;KflltltnF113r1r� x=
<br />155166 1€) C' t: 9 /16 / 88 gill (iti us 1 7 r eir aipaa; .tl� +.r atiiii �z e'l�: �� warirrzar� R
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<br />ri dwtas aVaritm jv, f UnC1V.Mww it al 04eiara esstlPiQ�,lt;91 rr b#j01IrillrA;,4 twIf FOR 0 rn plTaan,n6nt U nd r Si# U. �, 61 r rv.
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<br />Donald WSTERM
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