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❑ PreliminaryeConstruction <br /> El Under FLOODPLAIN CERTIFICATION (Dwelling) <br /> Completed To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> Owners Name Daniel Breister Legal Description Lot 2 CSM V1 P208 GL2 <br /> Address 4704 Lake 26 Rd Computer Number <br /> Danbury WI 54830 County Land Use Permit Number <br /> 641-860-1845 RFE For Building Site 956.3 NAVD88 <br /> E <br /> Dwelling <br /> (D)First Floor Elevation <br /> 9 <br /> e <br /> s <br /> (B) Ground Elevation Distance Beyond <br /> At Top of Fill Building -_-- -- _� <br /> -.. (C) <br /> • (E) Basement or Crawl <br /> (A)Ground Elevation r: i ;;„: :fi :�~ a Space Elevation <br /> At Building Site '�`{;" ." �' ■ <br /> • . tiKez1" jK•C as �.:''i 1� <br /> 1vYw4. � y sew ,� • p.aP7::Y0+'sG'KJD! <br /> i v -! a}. d.•Y '7 t . ,y :ro•�r.+v�"Y A :,tv%, <br /> �.t, ._.r.1' 4.... .aw•.:4'.._ ._.b_.... ar4.�•'!.'i4.,'�.4.._a.w•':..H.. •.L. `...4 <br /> (A) See site plan & detail <br /> Vertical Datum NAVD 88 <br /> (B) No fill placed <br /> Vertical Control 26 LK 1 C Natural <br /> Monument Referenced ( ) <br /> (D) 958.49 <br /> (E) 958.24 LAG basement (lea./4.04.) <br /> Comments: All of the land North of Lake 26 Rd at 4704it the building site areals <br /> above the RFE by +/- 2' or more <br /> I hereby certify that the information Name Mark E Krause <br /> provided on this form represents Signature t , 49444.4 <br /> the actual building elevations as <br /> currently constructed. PLS 1808-8 <br /> Registration Number <br /> Date 06/04/2021 <br />