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963 MANDALAY AVE " �?7 3�� �:i�Ga Hc�r. 1� ?t���� ��'4�Af1 P� K,Rp i r: f a F=i`t�'� li0. . � . � � F �Ft�1�EME3�G�KCY MANACd�M�NT AGENCY � �V � $ � A'�ft?NAi.FLOOD SId�URAN4+�' PRQ�RAM 4.M.B. No.3067-0077 Exp'sr�s Ju1y S4,2�t12 � �L,�VATIC�N C��tTIFfCATE ` I ; • � artallt; Ra tl�e i�tructians on a s�f �7. � C7'ION�1-PRO R'!'Y QWNER INfDRMATit1N Far 1elsurence Cvmpany Ua+' ° NUnI � ',,,,„ t .T 1`TE 1 . . ,: „ .. , �,,.,... . gUEL�NQ ST���r A�a�,�ss trna�d��Q R�„uni�Su�e,•no�or at+�.Ho,�o�w.o.ROt+r�nND�ax r�0. Coma�ny w�c.Numner �s.,�i�';;,;,. ;;, .���sxa,�' �veitt�e „,_ _ _ CISY $TATE ZiP DE 33757 Ft U RiPT1 N{Lot an BJock Namb�es>Taac ar�t Narru7sr,Le�a�Dea 'an, 8 E e.9., esidsn;l�l.Non-regident�ai�A �iion, �ars�yry.e#a, tlne Commsntt seoUor,it nec�tary.) LA1"f�F1L0 �7UQ'L�(i�PT1bNA�) tt0t�lf�}NTACC�A�fU .��G?URGE: 1....13PS C�YP�)� ( �°•Md►.�.#�" ssr �AM.NaM�°y (,�l All1D 9��? j.�j NAD 19a3 S,_,{LISO$t�usd MaP i...l Okhor: 9ECT1GiN 9-F441DD IN�UR/WCE FtA7E MN� F M)tNF�ORMATfC�N 81. CO N 8 aM S�. E 83.5 T8 2 Q l 5,S .FI NOEX 7.F4 A 8.�L D FL EL& OW(&f �1�ic�(�dt!&�ER DAT£ EFP�C7IYE!lFt�SED i�AT� 20l�t�l tZ�ane A ,uae daptR o('BOC�dInR) a �� ��L� � _ A.�� �.x o� 8d0.i�dicate th��durc�of tho 9�se�toad�lerratla�(B�E�data o�pa�e!Iood de�tt►��tta 9�. E.,.�FIS Pl�e �,�,(F(R�1A �Communlly C�rt�nnined �,_�Clther�G�SCdba); Bi 1. tndkate th��evattor,d�tum uaed fnr t�e�FE in Be:�,�j N:W�929 4�NAVD 1988 j„_J c7thQr{De�cripA): B�z,t+s tha buiWtnQ located in A Coastat Barrir�r ReaourGSa�yzt�m tCBFtS)area or Otherwi�e Pmteaa�d Ant�iC�PA)? 1_.!Yas ��{hto ��wipr+ation D+�te; .,, SE�TION C-9UlLDINQ Ei.EVATiqN i�I�ORMATtON $URVEY R[41111�L'D C7,Su�ldn�eieva#lons ar�baeed an: (,,,,,�Constru�ttan arawings" i_,..�BulldPnp Und�r Co � �q a 'A r�aw EEeva�ton Ce�tf!lcat�w!tl bs required w;�ren cans�ucUari afitho ptslle�n0 i�ecmpi�te. u aw • C�.Bufld���dtoflratt Number_���llNt�ZIl9 tit7i�I11�dl��R'1[11Q0�611111I9f t0�1e bulidirl� i �'ng r,ocr I see pa�os e and 7. I{rt0 dieyram eCCUratsdy�p�sssnta ihe btiildir�q,�rovide a ikal�h or photc C3,EleYationS-�ZAnes A1-A:m.AE,AE�I,A(v�fh S�Ey,V�.V#V30.Y(wlttt BFE),+RR.AR/A,A A�i�gF�A+�lAC� Comple�e itgma�3�►�-I l�triow�,rding!a tt�e buiidln�dtaqr�sponified in ltern G2.Staie LI#�tl.if thp�!lttuyin i*d3P/ r the datum us�ed far tfi�8F�ks 3�tivr�B,oanvert��daturr�to that used tor tr,�BF�.Sbo fioM vqrsl cala�le�on. Uati tt�e a�er.��rov�ae�c�r thc Comm�nts ares of 6ectlan D or Sacdon C3,ss ��i,fiG�'tfiN�l B{tS,�fp�yTi ,on, datwn�,.,_,�,,, Convarsioni�ammenl� Y 0 F G L E A R WAT E R Elwpqon rehrence mark ua�d 5�! f:C1�+�'t� Does the,eleyatian rei0ren�mnrk used cpp�arr an khe FIRM? �Yes (,�,�iwm � q)Top oi bottam}loor(inciudinp basernent or�ncfosur�} 7 ,,�{t.(rny O b)Tap of r�ext hlghsr Aoor ,,,,5.,j_1�.(t11) � D a)Bottom oi lnwast Norfzontal stn,aturat rnsmbar{V zc�rs only) _, N .,��.�m� � O d)Atta4ht�d pst�g�(top of�!�' 6 ,,,�,,,1�.(m) � Ci �)l.ow�t st+svatlon ci'machinery andtor aquipmes�t � � �nu3cirn�tht�u!!d(na ��,��.Em� ❑ !�Lowest adj�osnt�de{LAC�} �,��,�m7 �� �77� � O �;Hi�h�st adJecont Srsao(HA� � .,��(�n) � � ,��� Y"___ .._ .. CI h)�to.W p8ttpanvn!openinps(llood vsnt�)withln 1 R.abave adjaoe,�k qrade �f'°� i..� C 1)Tetal�raa of,eil pamtanent op+sr+inSs ffload varst�s?i�C3ea ,�,n aq.m.(sa.�cn) �1� ��'flGN D-9URV�YQR eNQINeER,dR AF�CHlT�CT C F�TIFICATfON Tt�s cee�fiC�tlan!e W be�(gtted end�aled by a tan+d surv�yor,�t1�in+�r,or archifiect aufhvriaed by law to�erNiy etevation informatiprr, j�that tha lnformt+Uw►fn S�atlauta,4,B,and C arr th/a cw0i�'c+�repressnts rny bast af�'ats fia intar�tret tt►e data av�;taWv. !uredaratand that en sM stad�trnmrrt trta b� ur�lah$b!e b ftnp pr ►iaanment under i8 tr,S C�oqp, Section 7Ra7. C�Ft ER's $ � TI ��� � A .. . sr� �3.� �o ' 4 11 02 � 2 7— 7 FEMA FOr1r181•�1,AtiC3� S R RSE SIG�FQR CdNT1NUATIbN R�PIAC�S I�LL P��VI01„!$�C117iON$ • CRTANT: In thrwe spacv�a�py tf�aarrovpendtn�in�orttl�pva trom�s�Nen A: F�r 1raw�nas Comperyy Use: : S3{ udlnD , . or � o, .O, AiN � NO. Num da Ave e . .. �. . .. , . .. ClTY TA'fE YIP GCIrS� Geennar u„na� ., . . . _ i.�