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<br />"-_0.' <br />CL.I::_Y.f\IIVI'I'vc.n I Irlv,", I t: [~pl'esM"yjl.'i99J <br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />NATIONAL FLOOD INSURANCE PROGRAM <br />ION: Use of this certitlcote does not provldo 0 waiver of the Hood Insurance purchase requiroment. This lorm Is used only to <br />clevatlon Intnrm"tlon nocon::Iry to oncuro eompllanc& wllh appllcnbl~ I.vlllrnunlty nOOClplaln managom9nl ordlnoncns. to <br />line the proper Insurance premium rate, nnd/or to support a requosllor a Lottor 01 Map Amendment or Revision (LO~A or lOMn). <br />Instructions for complellng this form can be found on the following pagea. <br /> <br />.' <br />~^TE <br /> <br /> <br />FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />'rovido the following Irom the proper FIRM (Soo Instructions): <br /> <br /> <br />SECTION A PROPERTY INFORMATION <br /> <br />Fon INSUI'\ANCe COMPANy USE <br />POlICV NUMB En <br /> <br />, ROUTE AND BOX NUMBER <br /> <br />COMPANY NAIC NU~8ER <br /> <br /> <br />E <br /> <br />1. COMMUNITY NUMBER <br /> <br />2. PANEL NUMBER <br /> <br />~. SUI'I'IX <br /> <br />.t. OATE OF Flru.. INDEX <br /> <br />5. FlnM ZONE <br /> <br />/ Z. (!!) Z. .;;- <br /> <br />~5 <br /> <br />~ <br /> <br />/2-(7-9/ <br /> <br />IiF <br /> <br />C. BASE FLOOD ELEVATION <br />(In AO Zon... UN ~hl <br />I~, <br /> <br /> <br />, Indicate the olevalion datum system used on the FIRM lor Balla Flood Elevations (BFE): NGVO '29 OOther (deSGflbe on back) <br />I. For Zones A or V, where no 8FE Is provlde9 on the FIRM, and the community has established a BFE for thIs building slto, Indicate <br />tho community's BFE: U I 8.-s1, f:=J leet NGVD (or other FIRM datum-soo Section B. Item 7), <br /> <br />SeCTION C BUILDING ELEVATION INFORMATION <br /> <br />. Using tho Elevation Certificato Instructions, Indicate the diagram number Irom tho diagrams found on Pages 5 and 6 that bosl <br />describes the subject buildIng's reference level L . <br />(a). FIRM Zones A 1.A30. AE, AH, and A (with BFE). Tho top of Iho referenco level floor from the selected diagram Is at an elevallon <br /> <br />of L ,I I f6r1J.1.QJ teet NOVD (or other FIRM datum-soo Section 8, Item 7). <br /> <br />(b). FIRM Zones V1-V30. VE, and V (with BFE). Tho bottom of the lowest horizontal structural member of the referanca level from <br /> <br />the selected diagram, 18 at an elevallon of I I I I I I.U feet NGVo (or other FIRM dotum-see Soctlon B. itom 7). <br />(c). FIRM Zone A (without BFE). The floor used 'as the reference level from the selocted diagram is W. U feel above 0 or <br />oolow 0 (check one) the highest Qradeadjaconl 10 the bylldlng. <br /> <br />(d). FIRM Zone AO. Tho 1I00r usod as tho roference level from the selected diagram /s LlJ. U f99t abovo 0 or below 0 (ct18ck <br />one) the hlghost grade adjacent to the building. II no 1I00d dopth numbor Is avallablo. Is the building's lowest floor (relorence <br />leVel) elevated In accordance with the community's t100dplain management ordinance? 0 Yes 0 No 0 Unknown <br /> <br />. Indicate the olevatlon datum system used In determining the above reference level elevations: ~NGVD '29 0 Other (describe <br />under Comments on Page 2). (NOTE: If the elevstion datum used In measurIng tho elevstions Is dlfferont than that used on <br />the FIRM {seB Sect/on 8. Item 7}. thM convert tho elevations fO the datum system used on the FIRM and show the COnversion <br />equation undor Commonts on PR09 2.) <br />. ElnvAtlon rel9renct mlll1c 1I8od appears OM r-IRM; 0 Yl:U ,2?J No (SnA InStructloni On PQgQ -1) <br /> <br />The rolerenco 19vel elovatlon Is based on: ~ actual construction 0 construcllon drawings <br />(NOTE: Use 0/ construction drawinOs Is only vnlld if tho building dO(J$ not yo/ h8~ tho rof8ffJnCfJ lov91 floor In p11lC8. In whIch <br />caSf1 thIs certif/cat9 will only be vslld for the building during the COUrs9 of construction. A post-construction EIf1vsfion Ctlrtl/lCSfB <br />will be requIred onC6 construcllon Is complote.) <br /> <br />. The elovatlon of the lowoel grade Immediately adjacenlto the building is: l I I mllOl. \QJ loot NGVD (or other FIRM datum-ga9 <br />Section B, lIem 7). <br /> <br />, <br />,. <br /> <br />SECTION 0 COMMUNITY INFORMATION <br /> <br />" tho communlly official rosponslble for vorlfylng building elevallons Speclno9 that tho referenco lovellndlcat&d In Section C, lIem 1 <br />is not the "'owosl tloor" 1111 dellned In Ihe community's ~loodpJaln mantllgemonl ordinance, the elovatlon of the building's "Iowellt <br />1I00r" 88 detlnod by the ordinanco Is: I I I I J I.U loel NGVO (or othor FIRM dalum-no Sectlo~ 8, 1t9m 7). .' <br />Dote ot the start 01 construction or lSubstontlal Improvement <br /> <br />EM" form 81-11) MAY 90 <br /> <br />REPLACES All PREVIOUS EDITIONS <br /> <br />SEe nevERSE SlOE FOR CONTINUATION <br /> <br />.. -.. -................................................................................................................................................................................................................................... -,.............................................. ........ -... <br />