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FLOODPLAIN CERTIFICATION (Dwelling) <br /> To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> Owners Name Doug Lamere Legal Description Parcel in Gov. Lot 3, Sec. 35-39-16 <br /> Doc. V.622, p.205 <br /> Address 6496 State Road 70 Computer Number 018-3350-04800 <br /> Siren, WI 54872 County Land Use Permit Number <br /> RFE For Building Site 956 Clam Lake - NAVD88 <br /> Dwellin <br /> (D) First Floor Elevation <br /> (B) Ground Elevation Distance Beyond <br /> At Top of Fill Building ______________________________ <br /> f— (C) <br /> (E) Basement or Crawl <br /> (A) Ground Elevation / Space Elevation <br /> At Building Site <br /> (A) 954.6 - 956.3 around addition <br /> Vertical Datum NAVD88 <br /> (B) 957 <br /> Vertical Control <br /> Monument Referenced Clam Lk 1 (C) 15' <br /> Elev. = 955.64 [NAVD88] (D) 959.7 <br /> (E) NA - Built on Posts <br /> Comments: This Compliance Certification covers on new 3 season porch added onto the Northeast <br /> corner of the existing house <br /> hereby certify that the information Name Douglas R. Crane <br /> provided on this form represents �� I <br /> the actual building elevations as Signature <br /> currently constructed. WI-1511 <br /> Registration Number <br /> Date '+icc)ust 22 2017 <br />