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O Preliminary O Under Construction FLOODPLAIN CERTIFICATION (Dwelling) <br /> ® Completed To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> Owners Name Josef Schuler Legal Description McKenzie Shores Condo#5 <br /> 1300 County Road E Tax ID# 19099 <br /> Address Computer Number <br /> Spooner WI 54801 County Land Use Permit Number LUP-20-538 <br /> RFE For Building Site 990.2 <br /> glECEDVED <br /> II FEB 15 2023 <br /> 11 Dwelling <br /> El <br /> Burnett County Ei <br /> Land Services Department El (D) First Floor Elevation <br /> Ei <br /> Ei <br /> El <br /> (B) Ground Elevation Distance Beyond fil„.4v7. <br /> At Top of Fill ---\\[...• Building <br /> (C) <br /> • (E) Basement or Crawl <br /> (A) Ground Elevation --.s,- Yr`: :: Space Elevation <br /> At Building Site ^' "r"�`'� <br /> NAVD 88 (A) <br /> Vertical Datum 995.6 LAG <br /> (B) <br /> Vertical Control McKenzie Lake 1 DN5257 <br /> Monument Referenced (C) <br /> 996.E (D) 997.9 <br /> (E) <br /> Comments: <br /> Name Mark E Krause <br /> I hereby certify that the information y� n <br /> provided on this form represents �� .4 <br /> the actual building elevations as Signature <br /> currently constructed. PLS 1808-8 <br /> Registration Number <br /> Date 02/14/2023 <br />