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' Gm ` �~ STAT� _ .-. .�N�mhnr . 'I�CC)D�� ,:Crl,i�ly,i�AIGN��: ,. S�C710N b-SUiZY �� . "��. •�;. ��or�,�s ao,►�eo„c�o��(�1 o�„m�, 2 Ir�u�at�oft ARCHfT�C7 CEfzTIFICATION(COMINU�D) '... • coMMF.Nrs .—:. ( ) a9�tNean�►�and(3)tx,�,9 ow�,a:� , ._ _._.__� _� .— --- �1 c. �d -�..� � ' --�-------------.�.__.,__..._____ , � `--- --�— ..—_�.—..�.__.— s�cTbN�-sUi�atNC a.�vArlaN I�awHanoN suav�r Nor�c�uit� FoR zoN�Ao a�w zarE��taour�F��,m�� For Zone AO artd 7�ne A(wiU,out BFE)�uomplete ltems E1 S�flon C must l�e Qanpleled, �E4.IF liro Eleva6m Ce[�ica4e Is inbenderi for ise�suppcxli�g ininrr►��Ikxi fix a LOMA a LDMR-F, E1.8u�lcfing Diagram��_��t Ihe �xJ cfagram most suri�to fhe b�1d'ing fixwhki�tli�c�tifiqta is being°prp�i°sr e pa��6 axi 7. I(no cA�grrt�a�car�ety ��f��9,P!D�da a ske�or phobgt�,}�,� �2.Yhe�ap ot the baltom ooa(i'��in9 t�,nent or endosure)af the t���g� ,��(m)_�cm above�r "�►�►9���aw�lable), � )Q [',below(Cl�edc onc)tl�e hir�hest adl�pll gr�de. (ll�e �3.For Buidi�g Diag�"�6$wflh apenix,�s(see t�ge 7�nte next hi '.� �y�eEa lerrs q,h�d q5 on Gart t#fomt �floa a elevated floor(de+radon b)of Uie bu�dirtg fs �11,(m)„in•(an)abau�e Ihe hfgt�t adaa�+U E4.For Z�ne A4 cNy: �no 11ood depfh nurr�ber is au�abte,is Itte dihe ❑Yes d Wo �]���, The bcal ol�dal r� �P bomom 1loor devatod 4t xi�danco wiltt the aom�s tloodplain mamagen�,l oN'm�? this kdam�On fn Sectint G. . S�C'PIbN F-PROPFRTI(OWNEft(OR aWNFR'S REPR�SENTATNE�CFRIIFICATION �P�P�ty o�X a tMmer'a auU�or�ed re�x�y,�q�Sa�lans A,B,C Iterts C3.h� I�ued BF�vrT_ono AO mugt si�I�re.lhe sl�ner►ts fn SecSona q,g� ( �xid(�only),and�ta 7�ne A(wilhout a FEh�A��st�ed a a�mm«�iiy. PROpERTY 0 ��3nd�are oa�ed fo the best uf my knaw(ed�e. 11VNE(75�R OVNVEfY5 AU�'F�pRIZ�p REpFt�5FMA7NE'S NAM� ` •— � •—•---- ... ADnRFSS "C�TI'�'—���.,._. ', WTURE STAi� - �71P COD���-- • ���� DA ET -l�.�FHp�'.—.. � COMMENTS . -- ----.� —^--.�� � -�--�—___..— ----��— _ ____., � ---,.—.� SECTION G•C�MMUNFIY INFbRMAT10N(bPTIONAL) ❑�c hene if atta�mearts The la�l oR'idai who's�bY L�v a adn�noe fo adrtin�l�rthe carrmx,rn s �CanP�ete the aQpYrable i�x�s�and�bebw. � �0°�a�h m2�iagen,ent a�n��rxe can cx�nl�ele Sc�cSons A,9,C(or E)�arui G af lhis L�v�iun G1,C7 The srtq'rr�a�on n Secdal C was�Cen irnm olher state ar Iocal law b ���n fhat has D�en signed and emb��ed by a�cnnseci swVaYor��rxJuu;ex,a arrhlboct who's auUiai�1 Ly a,�A������• pnd�ale 1he sourt�a�d d�of the elev'a6on d�ta in Ihe Corrunvits aioa belaw.) G3.d 7he fopauan9 ktfam�tion(Iterrts G4-G9 is �g b�d In Iax�A(Nrtlhout a FEM4 is�►eci a oormlunit}r-lssved Bf•'�a Zone A0. ) piovided ta oorhrnu��y ibodp�afn manac,�n�t pUPo,�s. ��M� C�i.DAI�PF�tlT ISSU� . � G6.L ?�7A�IFICATEflFCOM1�jAH(�IC)CCLP/Uv'CYIF — G7.THs Pernit trds been issued far:[�New C�syu� �o Ge,pevation of a�alt lawest door ❑Suhstantial Ynprove�r�ent `-�--�—�.—...—.._..� G9.BFE or('u�Zone AO)deplh of �9�d af the h�ding s: �aOdncJ at Ihe bi�fldrg si�e is; --w—�•�m) Dahxn LOCAL OFFfCIA�'S1�AME �„ �--�—��m) B:�um: TffiF �—"`_"_'—. CO�AMUNfIY NAM� .� .�..—._.—�` SlGNA7l1F� ��� � —�" ,.—, COMMEMS • DATE �""�---�—�-�—�....�._. .`..���.�.,—.,� �---�—..�—�." �---__.. •�y " _ _. `�'--- � _.,�,�_.— `�"��'��-- (.,�Chedc hc�e if a�E�n1s FEMA Form 81-31,JUL 00 �� _ n�n, �,.�,. .�� �..r....,,..,__.�_. _ ZO 'd 9690I96LZ1. 'ON X�.� X�dWH�N�B �QI�OI.� Wd Lb�£0 3fl,L ZO-Zi-B�.�