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FLOODPLAIN CERTIFICATION (Accessory Bidg.) <br /> To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> P I GAK1Q l T y Pc� <br /> Owners Name av Legal Description Lol C �-rzq 6-7?-/L <br /> Address V 177 Jarhiaon I?d♦o! Computer Number TAk To //237 <br /> W14 r4$Q3 County Land Use Permit Number <br /> RFE For Building Site <br /> Accessory <br /> (B) Ground Elevation Bldg• <br /> At Top of Fill Distance Beyond <br /> Building - (D) Slab Elevation <br /> (A) Ground Elevation <br /> At Building ' <br /> Site :• :•>;,.-. "� _ : :;..:_, .. . ,•�. .,:: <br /> M0^5ee( C-ARA&S S.-fT <br /> Vertical Datum NAVG $$ 44l1.t4.► ca-,,f&.r <br /> (A) SF(t.w) g32.4 932,4 <br /> Vertical Control V / <br /> Monument Referenced Yifl•w Ar <br /> l-44 2 (B) •po.trcf 19334) <br /> Ecce. q37, 8C (C) <br /> (D) Prd,v.rsd 933 + s1�6 ��,i'c1th�JJ <br /> Comments: Ekk /ig. 6-Agegc a C*A c►-•r f, FGoo R 49t syw T.oX- <br /> 933,0 <br /> hereby certify that the information <br /> Name MAA VWVte <br /> provided on this form represents <br /> the actual building elevations as Signature_ <br /> currently constructed. p` iv C a Reg Number II <br /> Date 6LIg 117 <br />