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FLOODPLAIN CERTIFICATION (Dwelling) <br /> To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> Owners Name Jeff Shaffer Legal Description Unit 3, Ponderosa Resort Condo <br /> Address 24812 SUNFISH BAY RD Computer Number 12791 <br /> Siren, WI 54872 County Land Use Permit Number LUP-23-485 <br /> RFE For Building Site Clam Lake 956 - NAVD88 <br /> ECEME <br /> MAY 19 2025 <br /> Burnett County I Dwelling <br /> Land Services Department <br /> (D) First Floor Elevation <br /> (B) Ground Elevation Distance Beyond <br /> At Top of Fill Building <br /> (E) Basement or Crawl <br /> (A) Ground Elevation :�. Y•: Space Elevation <br /> At Building Site ' <br /> (A) 953.3 - 954.6 <br /> Vertical Datum NAVD88 <br /> (g) 957.0 - 958.0 <br /> Vertical Control Clam Lk 1 (C) 15' <br /> Monument Referenced <br /> Elev. = 955.64 [NAVD88] (D) Building Floor 958.55 <br /> Site BM 958.2 (E) Top of Fill under house 958.2 <br /> Comments: <br /> I hereby certify that the information Name Douglas R. Crane <br /> provided on this form represents ^� <br /> actual building elevations as Signature <br /> the a g <br /> currently constructed. WI - 1511 <br /> Registration Number <br /> Date May 16, 2025 <br />