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U.S. DEPARTMENTOF HOMELAMSECUlIM <br />fedon"Emarpenby Managemarq Agency <br />National Food Iasurerice Program <br />Apt. <br />As. Wake Use <br />J (04. , � <br />NOM2l <br />AS. Attach q Poof LW <br />A7 BuildingDiagram Number <br />the bu <br />A0. For a building with a vawcpaca <br />Or enc <br />a) Spusre footage of taewlepace or or <br />b) Na of Permanent food apenbps In <br />errbsva(s) within 1.0 foot above a <br />C) - Total net ams of food openlnps in) _. <br />d) Engineered flood opemrgs9 (3._yes E3 No — so In <br />ELEVATION CERTIFICATE <br />aortent Read the inaKx t m 40npapi;1=8. <br />Of P.O. Roufe and Box <br />Addrdon, Accessory, elle.) L <br />Horeonal Datum: ❑NAD 1527 x 11114D 1983 <br />e Certificate is being used to obtain flood Insurance. <br />Iel ,_ sqft <br />Mspaoe or <br />grade — <br />dAB No.1650.a0D8 <br />"Expma Mertlb3l, 2072 <br />AS. For a building with an a0adbd Campo: <br />a) SquareDwtapa o1 aaaded gambit <br />. D) No.o/ permtrrant load opeMga In fte ataded mage <br />within f.0 fool above adjacent prays <br />C) Tobal net area of food openings in AgL _ N (n <br />d) Engineered flood apenDgs? .a Yes -0 No <br />w. roat nnoea BlettiuelRevaas Dow Be. Flood BS. Bra Floyd tee) R <br />,ffim . B7. FIRM Pend <br />etuo2rzoa 411611489. q�e) �ebA08 �) <br />B10 IMdab the source of Ow esce flood Elevator (WE) data or boss food O <br />❑ fIS Press FIRM depth entered a tiem Be.BB <br />-In Community GVI)I Determined ❑ Otlar (Desdipe)__ <br />812. Intlicea ebvatlon datum trbad for SFE ✓n Item BS: NGVD 1928 <br />872. I � yn a C OSM Bonier Rasouncoc System (❑CBCBRS a� a Protected pNAVDION lea c�A) ) —❑ vita ®No <br />❑ DPA <br />•SECTION C - BUILDING ELEVATION INFORMATION (8URVEY REpUBiED . <br />Cf, Building elevations are based at: ) <br />'A tree EavationCerOacels vats De requb� when en Drewmys� ❑ Building UrderConst ucapn• Finished Conafrldbn <br />C2; amtkilra.-tont Al -A30, AE. AH, A (with 8FE MMMMOon of the building is aomplela. <br />below almtd��e_g� asrr�;r-, tskdldhg . AH, A (a 1 V3o. V (with SFE). AR, AR/A. ARlAE; APJA1,0.90. AWAH. AR/AO.'Cprgdete lOsms{x,g,h <br />9,nom an k lldb> o lou- dice PadlOd M lam A7. Use the same datum as the BFE. <br />CmwnbMCommems__ �� SVD 1929 <br />a) Top of bottom floor (maudirg base -ant Casa Chea the measurement used. <br />b) Top of it* nyd higher door space; or enclosure Poor) _$, fa0 1z let ❑ meare (Puero Rion o*) .. <br />C) Bottarl of the lowest horlmrral abac0aal member (V Zones only) --- El1B0t ❑ mater (Puerto Rob c*) <br />d) Attached garage (top of slab) ❑ set ❑ meters (Puerile Roo oily) <br />e) LONG elevation ofa�� � rri� bre building _�a.�2 0last 0 last p im � � M <br />(Dead®e type of In Comments) (Puerto Rico say) <br />0 Lowest adjaderit (ruggr ad) grade and to btdldi g (LAG) . <br />e) adjacent (fi rwrwd) grade next to bWaag (NAG) '1'� Mae, ❑ meters (PumtoRko o M <br />Ill Lowest ad)aeant grade at 16eid elevation of dock or aloustairs, g —�Wool ❑ r*t" (moo Roo <br />dual a <br />Q loot ❑ Mears (Puerto Rico orgy) <br />SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />Thk cen.I. n is o De signed and sealed by a land surveyor, engineer, or architect 'ZRC ted law to <br />information. I ca" drat Information on this Candidate represents my bear erode to interpret me data cOrdfY &,%int ealevabon <br />Xunderstand that any false watemem may tb Punishable by fine or impnaonmem under i8 U S. Cods, <br />Cheek here It comments are provlded on b" of form. Vvere Istflude and I Swoon 1001' ❑ <br />onpflude In'Section A provided by a <br />ecensed turd surveyor? ❑ Yes 00 No <br />3 O. gu .ai<• <br />Certlfier's Name - {A' <br />�. 4cense Numher .. <br />-I <br />• FEMA Form 1 - r <br />,Mar D9 See reverse side for continuation. <br />