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Preliminary 0 <br /> Under Construction FLOODPLAIN CERTIFICATION (Dwelling) <br /> $) Completed To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> Owners Name David Hauan Legal Description Lot 10 Fossums Pines <br /> Address 6651 Midtown Road Computer Number Tax ID# 12648 <br /> County Land Use Permit Number LUP22-342 <br /> RFE For Building Site 956.0 <br /> IIECIEOWED <br /> OCT 2 7 2023 • _......1 .••••••,..t1°.1.11.11.1.......... .... <br /> E <br /> E <br /> El <br /> Burnett County r Dwelling <br /> Land Services Department E <br /> H <br /> 13 <br /> 13 (D) First Floor Elevation <br /> El <br /> 13 <br /> El <br /> (B) Ground Elevation Distance Beyond $ <br /> El <br /> At Top of Fill \\ <br /> Building a <br /> • <br /> • <br /> (E) Basement or Crawl <br /> (A) Ground Elevation � � ; � ; : Space Elevation <br /> At Building Site `,` .°' ...=z• r..'.1; ` • <br /> � <br /> ^i.K�a•,:.:.a�ti:i. ,s,.r,�c;:+•+• s' ..ram;• <br /> S' J.v.: <br /> w•' <br /> (A) 955.2 <br /> Vertical Datum NAVD88 <br /> (B) 957.0 (LAG) + varies higher <br /> Vertical Control <br /> Monument Referenced BCBM14 Clam BM14 (C) 15' <br /> (D) 959.0 <br /> (E) Slab on grade <br /> Comments: Garage 15' North of Cabin. Slab elev 955.2, septic lids 958.7 <br /> I hereby certify that the information Name Mark E Krause <br /> provided on this form represents <br /> the actual building elevations as Signature <br /> currently constructed. <br /> Registration Number PLS 1808-8 <br /> Date 10/27/23 <br />