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U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />Important: Read the instructions on pages 1-8. <br />ouuging wwnera name D N <br />Arc •T6,¢, 4PR1S6,g <br />Building Street Address (Including Apt, Unit, Suite, angg�or Bldg. No.) or P.O. Rot <br />k7 -/P7* Rv-*mo CSBAe-AIL XVO, <br />city MOA" vPA.4 — H/}Wfi// SI <br />7,eS <br />W-911 <br />OMB No. 1660.0008 i <br />Expires February, 29. 2009 <br />9743 <br />T , .. MK: SJ 'L -y -ems: az Pu,�;seo SOwf+'40ra zdP7e, . pH ANA <br />A4. Building Use (e.g.. Residential Non -Residential, Addition, Accessory, etc.) R�n S / P 6N riA.[. <br />AS. LatitudeCongitu le: Let - / P '02-71'W tong. -1Su�" ' DD• ' -- H <br />Attach at least 2 r °�+tel'oae„t.;:, :-. uen:lo�-un �o <br />. - eaa <br />A8. A <br />photographs of the bullding h the CertlHeate Is being used to obtain flood Insurance. — pr _� ._� <br />AT. Building Diagram Number -.g <br />A8. For a building with a Cf VM apace orondoeure(e), provide: Fara aiaiki g wiot an attached garage, provide: <br />' a) Square footage of craM space r encloeure(a) -— aq N garage so 3 <br />a)._ Square footage o! electees <br />---.27!_-Ng.pt.pumanentfrood openings in the aawi space or b) No. of permanent ROW openings In the attached garage <br />-,:- •--erxbatue(e)-we9s wllhlrt-1.0 root above adjacent grade wags within 1.0 toot above adjaoart grade <br />c) Total net Brea of flood openings In AS.b sq In C) Tote) not area of flood openings In'A9.b eq in <br />G_ _TJ.1j <br />I /S6'/66 -0276 G N. 14G V WIN] ISN,, O®1e <br />B4. MaWanel Number <br />�.�i /ice 021 <br />W. Sufl k <br />1)v Olt <br />N. FIRM Index <br />DebEBxtivelRevbed <br />¢-z-a* <br />ST. FIRM Panel <br />Data <br />-/40-90 <br />88. Fbod <br />Zone( e <br />V�L <br />88. Base Flood ElevWlmX*) (Zone <br />AO. sae base flood depth) <br />R.p 0=00r <br />0511). Inmate ate source or the ease Flood Elevation (BFE) data or base food depth entered In Rem B9. <br />❑ FIS Profile FIRM ❑ Community Dotemdned ❑ Other (Desame) <br />B11. IndMate elevation datum used for BFE in Item B9: Of NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) <br />612. b ane betiding located in a Coastal Baxter Resources System (CSRS) area Date ❑ or arise Protected Area (OPA)7 [3 Yes No <br />Designation DaCBRS A . <br />SECTION C - BUILDING ELEVATION INFORMATION SURVEY REQUIRED <br />C1. Building elevations we based on: ❑ConsWctionDrawings- ❑BuldlgUnder ConstruedW FinisheclConsWction <br />-A new Elevation Certificate will be required when construction of the building Is complete. . <br />C2. EwvaBone - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30. V (whh BFE). AR, ARIA. ARAE. AR/AI-M ARIAH, ARIAO. Complete hems Clay <br />below according to the buk-2v diagramsoed�e in Item A7./�e <br />Benchmark utilized RAI —.day FI <br />�m NiVP— BM Yorke!Daluri MS V <br />carwwsw vcomments <br />Check the measixemem used. <br />a) Top of bottom Noor (Including basement, crawl space. or enckisnae Boor) �' Mot 13motors(Puerto Rkw only) <br />b) Top of the next higher floor ON 0 5 "A.V Ba Oda. ,_❑ fast ❑ meters (Puerto Rico only) <br />c) Bottom of the knreot hodaoMal structural member (V Zones only) t' feet ❑ meters (Puerto Rico only) <br />d) Attached garage (top of slab) Alp A/ d ❑ ❑ meters (Puerto Rico only) <br />e) Lowest etevsticrn cf mad*mryor egtdp..km servicing the bunding > ❑ meteira (Puerto Rlco only) <br />(Describe type of equipment in Comments) ... . <br />0 Lowest adjacent (Qrdahed) glade (LAG) ---- 7. add uretero (Puerto Rico only) <br />9) Hiptieot adjeceru (finished) grade (HAG) - _Z,. ...feel 8 meters (Puerto Rim only) <br />D- SURVEYOR, ENGINEER. OR <br />-yww m,a seauto Dy a ram surveyor, engineer, or arcrdtaa authoemed by law to Certify elevation <br />Information. I crani* that me Informadon on IN$ CorWcate represents my best efforts to hit” I ie dare available <br />II understand that any Ia/se statement maybe punklimble by One or hnpdsonment under 181L3 Code, Secflorr 1001. <br />LTJ Check here if comments are Provided on back of form. <br />WePkd <br />dress P <br />•D� SO C Sr� <br />Signaler <br />s <br />FEMA Form 81-31, February 2006 <br />°'''Af 7-a.8]9r <br />9 5arev6y <br />AIA State <br />See reverse side <br />.. r..:... .... <br />4968 <br />all previous editions <br />