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Under PreliminaryConstruction FLOODPLAIN CERTIFICATION (Dwelling) <br /> ❑ <br /> 0 Completed <br /> To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> Owners Name David Hauan Legal Description Fossums Pines Lot 11 <br /> Address 6663 Midtown Rd Computer Nunbe,i <br /> Siren WI 54872 County Land Use Permit Number <br /> RFE For Building Site 956.0 <br /> B <br /> B <br /> E Dwelling <br /> El <br /> El (D) First Floor ElevationEl <br /> (B) Ground Elevation Distance Beyond <br /> At Top of Fill ---\\keBuilding a <br /> (C) <br /> • <br /> (E) Basement or Crawl <br /> (A) Ground Elevation t- : Space Elevation <br /> At Building <br /> • <br /> (A) 956.0 <br /> Vertical Datum NAVD 88 <br /> (B) 957.1 <br /> Vertical Control: <br /> Monument Referenced County Benchmark#14 (C) 15" <br /> Elevation 955.76 (D) 958.3 <br /> (E) <br /> Comments: 14.'concrete slab- deck on lakeside of house 957.2 min <br /> I hereby certify that the information Name Mark E Krause <br /> provided on this form represents Signature <br /> the actual building elevations as E. <br /> ►. currently constructed. 808 <br /> �„ �a^�. ►1 <br /> Registration Number ' '-•.' � -"a <br /> Date P/// .( • it <br />