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Home My Public Portal AboutJones Av_608 1 Cat iV! .b ...•v ••• • — — ELENA FEDERAL EMERGENCY MAfAGEME N O p r i E F ELEVATION CERTIFICATE �x�r� �rlly M Y rV,- 7' F i 0 ,. FL ,NAT1ONAL FLOOD INSURANCE 'NO ATTENTION: Use of the certificate does not provide a weiver of the food ireittrance''. ' This t i * , only to pro ' vide elevation information y b ensure compliance with applicable common . , i tt ►ri rrieni ordinar cee OZ' r the proper insurance premijm rate, endfor to support a.request fora Letter of Map ; h ilt or'f d ion (1.01.4k oil Ft),You am not '' required to respond to this collection of information unless a valid OMB control number to displayed in the upper rightvtthhert4 thitolotrii in Instructions for completing this form can be found an tF* ilowirttpugee °..� ., — - ----- l'Ar..C11,01V A, PP.Origkry Rt. SECTION A PROPERTY INFORMATIION '� ' " i7rL�0f+�3 r3Yx7i"4r+�'� �, iN$URANCECdutPANY 9U� 'S NAME YY ___ �" s _ : t e'4_ c „F' 3x Er i ud,� A t,! r. su fl& cot '€Ir Sift. No 004 OR 9, ES STREET ADDR ltnWu erto Apt„ Unit, 'kite and* Side. Numbed OR RO, ROUTE AND SOX NUMSER 1CQMPAN1r ''t j j tee. a FiAi et .V'! 4 A V _ OTHER DE'"=,�C'RtP�' N Lot er jots c 4, �s,i^,sc ) . _�� OTeen DESCRIPTION (Lot end elm* . � Numbs's, ) t �r ,, , t 1,.....4... ___Ti a a. I4•s w1 e 4 • ;i7 cerc __ 'f _` CITY -' JV 1,-. 4-1-.” I SECTION B FLOOD INSURANCE PATE MAP (Fl F `�'�"�"� -' `"�"`�"" `"'` ""°° ' --`.,'_`< "�°� r? , ks e t o r. h 1u h r! O ` ' "ms. i ur&c' % Provide. the following from the proper FIRM (See instructi t. cO MUNITY NUMSSR '2. PANEL NLIMS8A 3, SUFFIX • 4. DATE OF FiRM INDEX b. see zoos , s BASE F1.QOD ELEV • tin Ac k 5 Iii, 00 I''',, T. Indicate the elevation datum system used on the FIRM for Elate Flood Elevations (BF r ❑htG+Uf 4 29 ripOther (describe or tricky Fl t 8. For Zones A or V, where no EFE is provided on the FIRM, and the community has established a B:FE forthis buitdirg site, )ntii _e ( 0 1 the community's EWE: L Li LI ...1 .0 feet NGVD (or other FIRM datum -see Section=B item 7), - r eeeeeeee 0 aim SECTION C . BUILDING ELEVATION INFO tfYT%tt'iirSW — — ya e he of I. Using the Elevetion Certificate lnstruetion.e, indicat the diagram number from the diagrams fouie P!a 8li;ttt theft" ssst-o t Fel _ , describes the subject building's reference level , , . one , At = A50, r , - ., anti A iveth SF Et, 'rho t, 2(0), FIRM Zones Al -A30, A. AH, and A (with 8FE). The top of the reference level floor from the et v reet:44syt airi eleyPtkillv daFum• of L. 1 t Jiff) . 1 feet AJQVD (or other FIRM datum -see Section 8, Item 7)- (l ,>, r• FiM ZO_ E VI V30, The b tic (b). FIRM Zones V1430, VE, and V with any The bottom of the lowest horizontal strieetuggerpaierberptthe reference level from J� Li i the selected diagram, is at an elevation of 1 1 1 1 i _ i.LJ feet NGVD (or other FIRM d , s,eS rea Item 7) ,,,,::,,A f rh re (c). FIRM Zone A (without BFE). The floor used as the reference level from the selecteddiagearelis,I S ore toiraoant to tip below ❑ (check one) the highest grade adjacent to the building. F ieve• I (d), FiRM Zone AO. The floor used as the reference level from the selected diagram is L.L..1 Ll feet eiboveC or below ❑ (check..: it r;c ,,i,( one) the highest grade adjacent to the building. If no flood depth number is available, is the build g's lowest floor (reference ; is "iity , >I level) elevated in accordance with the community's floodplain management ordinary? ❑ Yetti Nq QA,Oftlelown eft in eetr r e , nm 3. Indicate the elevation datum system used in determining the above reference level elevations: GVS '89; ,Othsirefd .scribe ,, ific^it oa under Comments on Page 2). (NOTE: h the elevation datum used in measuring the elevations is diffiretfUhen l teti ton ',le clove the FIRM (see SAallon 8, item 71, then convert the elevations to the datum system usedowtheflRefaindlehbeetheronviession equation under Comments on Page 2) - - r€1,1(,4 Mask ,u;,e4 «i;;p rN . yet;., ( 'tc 4. Elevation reference mark used appears on FIRM: ❑ Yes t No (See instructions on Page 4) , � : level elevation i� i��'v�4t �P ;a+`,:iF,tei s.or➢ 5. The reference level elevation is based on: actua construction ❑ construction drawings �w ,, of ,, , : f . , r_ n(y vali i; h is. (NOTE; Use otconstruction drawings Is only valid 11 the building does not yet have the retereletteWesettioor in place, in which ,. ii d sri,1T, case this certificate will only be valid for the building during the course of constructfon . A post =construction Elevation ;Certificate will be required Once construction Is complete.) ajacrF# t 6. The elevation of the lowest grade immediately adjacent to the building ls: ( J ii.RieEekterit NGVD.(or other FIRM datum-see Section 8, Item 7). _ _ SECTION 0 COMMUNITY INFORMA"FI! "°®`" ° ° ' 7 as a.u. ; ", `.:, ;s .:p:,..bviirlir g r 1. If the community official responsible for verifying building elevations specifies that thrxxefetenceilevel indicant in t`brete4t etnunittr e i o a is not the "lowest floor~ as defined in the community's ftcodpfain management orclinaneeetheelevalien of BeepuipAgege " v e t ee ,, j , Li f floor" as defined by the ardinenoe is: i 1 1 L.11, Li feet NGVD (or other FIRM oetereeegteseettoe 8, ttam 7) * n or cut formal ir:1prtNere 2. Date of the sten of construction or substantial improvement .:.LL__..._ne.. —.,-_, „,.._, FEMA Form 81.31, MAR 97 RECCES ALL PREVIOUS EDftiONS SEE REVERSE SIDE FOR CONUNUAl1ON ie / 1 t: i j ylZ'134 lHHIHHrI HUPIt tSUlLUtri / ti SEC E C Thy oert on is to be signed by a fend surveyor, engineer, or architect who is 8uthoriaed by state or Ipcat Iaw to certify elevation information when the elevation information for Zones Al -A30, AE, AN, A (with BFE),V1- V30,VE, and V (with 8FE) is required. Community officials who ere authorized by local Iaw or ordinance to provide ftoodplain management Information, may also sign the Certification. In the case of Zones AO and A (without a FEMA or community Issued EFE), a building official, a property comer. or an owner's representative may also sign the certificetion. Reference Wei diagrams 6, 7 and 6 - Distineuishing Features -if the certifier is unable to certify to breakaway /non- breakaway well, endow s size, i0FatiOn of servicirte equipment, area aloe, wail openings, or unfinished area Feature (s), then list the Feature(s) not included in the certification under Comments below The diagram number, Section C, Item 1, must still be.entered. I certify that the information in Sections 8 and G on this cat to represents my best efforts to interpret the data availebla. I understand that any false statement may be pureshsble by fine or imprisonment under 18 US ,Code, Section 1001. k t�E P A t.� -.tea �s I COrdP NAAf� ... ` °' rt /e . l rs. a �=� rat` t • •►� as sK+MatWgtti / �M oA 1 r Malt h Collies ;Mould Wade of this nittcata t : t) com rnuntt f � iN s hoe agantVcompany. and 3) building owner. /T 'pC. arrU ►�� " - wnx CMnLss, a►.+►� e4e6AtMr A rrltwa,de ooLU A 'd A max �OMBC u 20M@8 $Or b ZONES I Lott : .EEr l • MOD r+ winfigE 1 Kam r A41A6lNT i , � AWAEEM7 ° .. - �ix . 461' 5 ; : The diagram' 'boos illustrate the points at which the elevations should be measured in A Zonate and V Zones. Elevation for an A Z.Onarfi ettoutd bs measured at the top of the reter:nee level floor Elevations for all V ZOOS should be measured at the bottom of the lowest horizontal structural rr►embor, • Pogo