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<br />FLOOD INSURANCE MATE MAP (FIRM) INFORMATION
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<br />Irom the proper FIRM (See Instructions):
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<br />2. PANEl. NUMBER
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<br />3. SIJI'AX
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<br />4. DATE OF FlAM INbEX
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<br />SECTION C BUILDING ELEVATION INFORMATION
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<br />1. Using the Elevati n Certificate Instructions, Indicate the diagram number from the dIagrams round on Pages 5 an ~ that beS~1 "
<br />describe. the SU~jecl building's r.'.rence Ievel..L , I! . .11 !
<br />2(a). FIRM Zones A.1.A30. AE, AH. and A (with B FE). Tho lop ollhe rele,oneolovol floor from Iho s.lecled dr," gram~'1S' al an ley allOr,
<br />. 011 , I ~16~.lLIl.ol NOVO (or olher FIRM d.lum-... SoCllon B.llom 7).. I I i I
<br />(b). FIRM Zones Vt1'V30. VE. and V (wilh BFE). The bollom ollhelowo" horizont.' slruclur.1 member ollhe refer 'f" '"r II~om "
<br />lhe .e'eCled di grom, Is "I .n elevaUon of U , I I IoU 1001 NGVO (or oth.r FIRM d.,um..... SeCllon B. II. : 7). I : i
<br />Ic). FlAM Zone A i1houl BFE), 'f!1e lloor used es the reler."", I"ell,om the .elecled dlogram I. W, U Ieet ttio.. . . or !
<br />belOW 0 (ch~6< one) 1lI0 hlghe.t grade odjaconl to Ihe building. I i ~ I I
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<br />(d). FlAM Zone Ad,. The lloor usod as th. refe,.nce I.vell,om the "'eclod dlegrem Is W. U fe.labo.. 0 0' ~IOW . I (qhe"'1
<br />one) the hlghe~t grade adjacent to the building. If no flOOd depth number Is available. Is the building's lowest f1op~ (ref'r nc~ I
<br />levol) eleveled n .COOldance wIth the communily'. floodpraln manege",enl ordrnonce? 0 Yes 0 No 0 Unf1own, I' I
<br />3. Indicele Ihe eleve Ion dalum syslem used In dolormrning tho abo.. relerence le..I.I.v.IIO<1$: B' NOVO '29 0 Qlher tJJ.'11be ,
<br />undel Comm.nt. pn Poge 2). (NOTE: If/h. elev"ion dalllltl used In ....'uring th. elev.tlons Ie dillerent than ~t ,'us.d, <In ! I
<br />the F~RM {see tct/on B. Item 7}, then convert tl16 elevations to the datum system lJsed on the FIRM and show l17e con~~rS/~, n '
<br />squatlon under C mm,nts on P.ge 2.}....,./ II , '
<br />· Elevallon 'ofe'en mOlk usod llppear. On FlAM: 0 Ye, l:J No (See ins.ucllon, on Page 4) II . i I ~
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<br />5, The reference le~r elevalion Is based on: B' actual construcllon 0 construction drawings i: 1 I
<br />(NOTE: Use of nstructlon drawIngs Is only Val/d, il the building does not yet have th, referenc9 I,vel floor In plac" !In WhICh :
<br />csse this certlf/cat will Only be lIal/d lor the building duringlhe course of construction. A post-construct~on EI.vatioh Certif/Caj t~
<br />Will be roquffod on 0 COnst,ucllon ,. comptele.). II I :
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<br />6, The elevation or t e lowest grade Immediately adjacenlto the building Is: I I I ~13J ,lZ] feet NGVD (or other Fl M dalJ -see I
<br />Seclion a.ltem 7) . i i II
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<br />SECTION D COMMUNITY INFORMATION i Ii! ~ I
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<br />1. " the commUnity ficlal responsible for verifying building elevations specifies that the reference level IndIcated In S'Cllon y\ It~m 11 I
<br />Is nollhe "Iowesl oo~ as dellned In the communily'. f100dpl.ln management oldinanee. the ele"'tlcm 01 the bulldlr!ll', 'loi<,os' ,I
<br />floor. as dellned b the ordinance Is: U_-'-...l.~.U feet NOVO (or other FIRM datur'n-iee SectIon e. Item 7). !: ': I: I I
<br />2, Date of the start 0 COnstruction Or 5ubstanUallmprovement _ :' : I I
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<br />REPLACES AU PREVIOUS EDITIONS SEE REVERSe SIO~ FOR CO TlNlJATlON I
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<br />HM4 form 81-31, MjY to
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