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BLD1993-00594 Flood Certificate
. a FLOOD AREA t,t1c 1 it- i LA I c: Federal Emergency Management Agency , National Flood Insurance Program DIRECTIONS The responsible officiaL shaLL complete those portions of Section 1 where necessary information is available in the county records . In the absence of sufficient data, a registered professional engineer, architect, or surveyor shaLL complete this section . Section 2 shall be compLeted by the responsible official . Section 3 shall be compLeted by the building officiaL . SECTION 1 ,.� €; APPLICANT: Me. 4 M2.S, 4L W EISEN 5(JIZ4.�(2- ADDRESS: 4c0I 14iD1::$& J T32AIL. 42& , 'Po -Toc.vN ,N,D , WA TELEPHONE: (home) 3$S-04.1. (business ) `---► REPRESENTATIVE (contact) : s,EL ADDRESS: TELEPHONE: (home) (business) PROPERTY DESCRIPTION GENERAL LOCATION: pa,c.-p E 2.T`-,' 15 LAD GA'T"1✓D rL.D p,z-O'74 I M,41--cL--r/ l 0 1 j D - E Dv e V.A-43U ss1-I cc:Du r rre 1?oA-; a►., A 1..EJ.rJL. Asia en N G4rZ .► 1✓ 5 EArCrh+. LEGAL: Identifier Number: eJ ©2.- L S3 - p(7.:)-7 Tax ParceL Number (from property tax statement) : "(- . l S Real Property Description (from property tax statement) : A real 7rto1J \ Olag 40v> M, -1-- Lc - 61 '5*.c?roni I5, T: 25 (I, j R.2 t�?.ps1M. SITE'S DISTANCE FROM WATERWAY: w rf}.}1, ..) A pPe'DX , -zoo c45 r c i E.N.W. \ -BASE FLOOD ELEVATION , ( 100 year flood Level ) : E LE11A'l7o1Q 10,00 016VP) SITE'S ELEVATION (grade LeveL ) : AypIZQI.I1AgrE.A..,r) .7 SO 1 '1'�NCi�1D� SITE WITHIN FLOODWAY: N,10 1 I PROPOSAL PROPOSED USE: /Residential ❑ Mobile Home ❑ Commercial ❑ Industrial ❑ Agricultural ❑ Storage ❑ Other ( identify: FLOODPROOFING MEASURES: YES NO LandfiLl 0 0 9* PoLe, pier, or pile - ❑ Parallel foundation walls sr' o $Extended walls and basement IV 0 ALternative ( identify) : •16.s rZE6:2.0 p .FUL ( o , � L.�1.,• lam' c t? i✓�tQ'J✓ILi c o C-�a►•..1 v 1 l O J S o F� 5ET T S.N1 c),K3 -.5 1TE. : 1,4 it..IL_ 1 1J wEsT 10 e. 0 F vitz Fr IA 4'rzo FM 130 tLb1 IQQ 51'ti . . il.tL 0k3.5 PEI E. A/1(,V ED r rat •\ R- 1 C K.N12 " = l?. 4��k�.a.V,D,)CPrre ►.40, . .4 'Sv x1' ,rE1.XECO1�N:5 t10 3'{Rlj4�rrt" c' Cyr: il„ton4.01,11n pot. ,r P loon jet AY ; ' PANEL AND FLOOD SOURCE: 5-T-an M t RAN./EIJ TnDA<_ 'Fi.-OcbD I N E) FPDM 1.4-001:› t P�t_.. ZONE:1 a. v ` sw C4 , NOl"JLEDGEh1ENT I verify t . ro `�f�a+ . rovided in Section 1 is true and / correct. As. .A A. ge**4' ift" oc sign, ure 4rir 1 (date) REGISTERED PROFESS` w , ��� 1--,4- .J S . C,A t4A +V TITLE: 12 , T? L► S - LICENSE NUMBER: 2 0 6 4Z SECTION 2 . CONDITIONS OF APPROVAL / 1 . The height of the lowest floor shall be 3 feet above grade. ). f ( 0(4 -firer-6) Ata4VAA14) kt-, az 5'6" 4-1,u- c1, rc,.,,,--- erev, t /2,g-t.i,ZYlie. (I.^ S se,e,6 - ,, to/ c/63 _t.) C'6- i P/meld P7gIi) A'le , i oid.fiuh- -e_— ' ACKNOWLEDGEMENT The degree of flood protection required by this certificate is considered reasonable for regulatory purposes. This certificate approval shall not create liability on the part of Jefferson County for any fLood damage that results from reliance on this certificate. , -7 (signature (date) RESPONSIBLE OFFICIAL: er/i4 r Pc�,(?f TITLE: DEPARTMENT: __ Alin" SECTION 3 AS-BUILT CERTIFICATION I verify that the structure complies with the conditions of the flood area certificate. V\,o� yc \tsaS kle-01.1, 34't" 3 V.1,- 4460,co c.�, 77 A U <3-2z -15' (si_gnature) (data) BUILDING OFFICIAL: N1 1 0 os C l Q oo Pt ---------... N.,.. ------.....,,,.., ob "'Ip�/ J11S1,:lb1- 111, 11N1 i L') j' $ zb � /5 , , 1 1 . %1111111M%ioiit%11%111IlliiilH Ob / • ! ` t �G7� ( OS-/ i. d"\ y o c> Z �'" • i �� ��tjtl z•4az t t W114 IPHI 111"I I I I Plillii _ Z f AS i tit 1 o Qb t a� iy \\> ..--. , + \\\\ +_•1.8 ( �'�s i z \ \ VII - /-1 anti♦ \ \a s/ '� 4 e .\\ -�.} b'�Z� Z 6( + .lb+ �.a22� \ 4 I '1 l 1 s a; _ � Ls1 ri 2 + ob1 , ' imbk— �' ' .,58I 'IsI jotl- w'zio>N �� 0 0-Z,� (, i