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6/17/2014 7:31:58 AM
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4/14/2014 1:32:48 PM
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Elevation Certificate
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F] <br />SECTION E CERTIFICATION <br />..-�,..`- i rg ` 0Z.,l ; bZz. <br />This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation <br />information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. <br />Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the <br />certification, In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an <br />owner's representative may also sign the certification. <br />Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, <br />enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the. Feature(s) not <br />included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. <br />1 certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. <br />1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br />'iceC>QAt_D JAM: MuZrAy <br />CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) <br />LAQV S11.)NtY13M ' 11MPAy 13H)TH 7- ASSOG, LTV, <br />TITLE COMPANY NA E <br />So$ KALAufxoA sTI-sr--T �4)L6 4-11 G�'tzc <br />ADDRESS <br />CIT`.' <br />STATE ZIP <br />SIGNATURE ?� DATE PHONE <br />Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. <br />COMMENTS: <br />REFERENCE <br />LEVEL <br />FLOOD <br />ELEVATION <br />ON WnH ON PILES, <br />SLAB BASEMENT PIERS, OR COLUMNS <br />A v A A v <br />ZONES ZONES It ZONES ZONES ZONES <br />\';:. ADJACENT <br />ADJACENT GRADE <br />GRADE <br />BASE <br />FLOOD <br />The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. <br />Elevations for all A Zones should be measured at the top of the reference level floor. <br />Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. <br />Page 2 <br />BASE <br />FLOOD <br />ELEVATION <br />ADJACENT; <br />GRADE <br />
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