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IMPORTANT: ln these spaces, copy the corresponding information from Section A.FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. <br />171 HERON FARM LANE <br />Policy Number: <br />City State <br />Washington <br />ZIP Code <br />98926ELLENSBURG <br />Gompany NAIC Number <br />sEcTloN E - BUILDING ELEVATTON TNFORMATION (SURVEY NOT REQUTRED) <br />FOR ZONE AO AND ZONE A (W|THOUT BFE) <br />For Zones AO and A (without BFE), complele ltems E1-E5. lf the Certificate is intended to support a LOMA or LOMR-F request, <br />complete Sections A, B,and G. For ltems E1-E4, use natural grade, if available. Check the measurement used. ln Puerto Rico only, <br />enter meters. <br />E1. Provide elevalion information for the following and check the appropriate boxes to show whether the elevation is above or below <br />the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). <br />a) Top of bottom floor (including basement, <br />crawlspace, or enclosure) is <br />b) Top of bottom floor (including basement, <br />crawlspace, or enclosure) is <br />E2. For Building Diagrams 6-9 with permanent flood <br />the next higher floor (elevation C2.b in <br />the diagrams) of the building is <br />E3. Attached garage (top of slab) is <br />E4. Top of platform of machinery and/or equipment <br />servicing the building is <br />f] feet f] meters ! above or fl below the HAG. <br />I feet ! meters n above or I below lhe LAG. <br />openings provided in Section A ltems 8 and/or I (see pages 1-2 of lnstructions), <br />I feet I meters <br />lfeet I meters <br />[feet ! meters <br />n aboveor flbelowthe HAG. <br />fl above or flbelowthe HAG. <br />n above or I below the HAG. <br />E5. Zone AO only: lf no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's <br />floodplain management ordinance? [ Yes n No ! Unknown. The local official must certi{ this information in Section G. <br />sEcnoN F - PROPERTY OVVNER (OR OWNER'S REPRESENTATTVEI CERT|FICAT|ON <br />The property owner or owner's authorized representative who completes Seclions A, B, and E for Zone A (without a FEMA-issued or <br />community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. <br />Property Owner or Owner's Authorized Representative's Name <br />Address Gity State ZIP Code <br />Signature Date Telephone <br />Comments <br />I Cfrect< here lf attachments. <br />ELEVATION CERTIFICATE OMB No. 1660-0008 <br />Expiration Date: November 30,2022 <br />FEMA Form 086-0-33 ('12l19)Replaces all previous editions.Form Page 3 of6