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HomeMy WebLinkAbout34-2116-014-0190- - - - - - - - - - - - - - - - - - - JUhl-03-98 WED 13:27 SEILER-&-KELLER 305 822 9539 F. 02 FINAL EL'.1 3 nls c,C,i1',cato ahail b,: sulrrrti0j_d for eornpuanGa of 1I c3-3f to DER.,%j Fl,. d Plain Vinnage Went Progrnat to rc- ovc F1N1,L MPLET] 0 ; NOLD I 7 zis cjttWcaje ~Uill nrzt be accented if all items are not cornplefed PROPERTY INr OR ATION Cnh tollowing information to he provided by cantmet,or, prope"ly owner or agent.) FOHO # 30 - (_1 t 4 0" OT ACCF_?T!,!D J✓ITFOUT ]FOLIC„') tE- - c~m~ tticn New Cons:.`uction Additi.ot), Recorlstrzuion or I GC -;1f teat tf c A60VC 1nf0f-Mat1Vn Lyles-`G .LS rn j be sc Cf14 I to inrtezpj nor 0~':c LIALI undG,-%[J•]d a3^v -W' -,r:C ur.]CiTa}CG 1 t F cr to eo'.i . a co.-iilc~to of compia:ion or occ~aanc+ wail be U %'c PER-MI': FCDLufiR'" U5K.. 'Ple Count;+ wil -viva the elevation data .,...._crd. Dc:icicncics r_•ctce;ui cy sac;. ;mf:c•-v -,-all ;c co,-,m-td by :-he rc-..:t aoicc. !M.nG iatoiy and p cr :4 [-te: progressiye c:r c, -C ;c -,:ccci to prccac4. Fsii=. 1D ,ab.~.. t.`, 'cva1tian sue-rcv or C_ :I:r: tt cr 5djurc t,; mn]],o said cvr.:c: ors , ,u•Lrc4 hc=y Snell cc cause :A :E3uc a stop N0ri: orCtr °or is prc;oc:. Date` (prv~t rhCrt.r~ =Y _T Tbis c tic:itE is not 'valid if aaF IU-ns arE ~lte_ rte Gr* i)CE c:)UlpIE±e1 ~V C 1'7i 5? Gli Namae f~t rr~rc~~ ,rcyL'-Gi c~k lk =mil 1~G Ccr~zt~rl : v S _ 7 x 1 ranee j na e c, r IsMf T-_-,m zonr- :aE-:a Floca .;20635 c") c3 ct C) ^ Z._~_ ~C~ 1 /Y fit. T~C-YV~J Using FENl A's,Elcrat:on Czniflcatc irstr,:cd? ns; ittdiCatc diag'am. found on Page S „ o that bc:-,t dcsr.= cs Lke sv4j6c, buQding'S rcfc c ;ce LCWES , x "14COR E%)r.A_` 7_0N . (TOr~ RcfG:z: cc ievci) .C¢ J F.. l1. G . V . D . LOWEST ADJACENT GRADE ELEVATION T _:tON' . . . GARAGE OR STORAGE - FLOOR ELEV TIOll - r ~ 14. G. V . D. MEVATIMT OF HXGIi. `ST CR0r,,TT OF ROAD (Fmnu-ng Pmxnf), . G !E5 2. FT. N . G . V. D . A C :COMPRESSOR . t - N. G. V. D. (1'roFide top e.arou of supQc>ttutz structure), I lc `jy -Mii, that the information on this cc ificacc is ma and cDrr= to the best of my 1:aowIcdgc and be ct. Data Ccr ii:r:'s Hama : Uwe. 'A-7 t t„ctitie: s , Ei~aature r ~;t"` Ccrlll~~tG X ..y`,tJ)6 PLS This form has been approvcd by The Fc-.4c _i EmergCncy Managcmcnc.kgeacy (FEM k) %nd may be used for 7ood 4-suranc; pur',,ls'-'s- Rer. lly 3l. 1Q95i~i_EVCERT.193