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OMB No 1660-0008 <br />Exprrahon Date November 30,2018 <br />IIIIPORTANT: ln thsse rp.c€a, copy the coro.ponding lnformation rrom Section A FOR INSURANCE COMPANY USE <br />Buiding Sreet Address (including Apt., Un . Sud€. and/or Bldg No ) o. P O Route and Box No <br />5325 RHONDA AVE <br />cry <br />SANTA ANA <br />State <br />Calrlomra <br />ZIP Code <br />92703 <br />Po|cy Number <br />Company NAIC NumDer <br />SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REOUIREDI <br />FOR ZOriE AO AND ZONE A (WIIHOUT BFE) <br />For ZorEs AO and A (without gFE), complete ltems E1-E5. lf the Cenifcate is intended to support a LOMA or LOMR-F request <br />complete Seclbns A, B,and C For ltems E 1-€4, use natural grade if available Check the measurerhent lrsd ln Puerto Rico only. <br />enter meters. <br />E1 Povde elevatron rnto.malpn frcr the bllowing and check lhe appropriate bores to show whether the elevation is above or belou/ <br />th€ hiJhest adlacant g.ade (HAG) and the lowest adjacent g.ade (LAG) <br />a) Top of bonom floor (induding basemer(, <br />crawlspace, or enclosure) b <br />b) Top of bottom f,oor (indudrng basoment <br />crawlspac€, or enclooure) ts <br />E teet E meters !aboveor lbeiowtheHAG <br />n feet flmeters Daboveor EbebwtheLAG <br />E2 For BurhrrE Dragrams 6-9 wnh permanent flood openrngs provided rll S€ction A ltems I and/or g (6ee pages 1-2 of lnsttuctrons) <br />E3 <br />E4 <br />the next higher ioo. (elevation C2 b rn <br />the diagramsi of the b'rilding rs <br />Attachod garage (top of slab) ls <br />Iop ol platform of machinery and/or equipment <br />ssrvaing the building is <br />I feet E meters ! above or E belo\r/ Ule HAG <br />! feet E meters Ll above or Cbebwthe HAG <br />E freet D meters I above or Ebelow tlE HAG <br />E5 zone AO only lf no flood depth numbqr is available, is the top oI the bottom lloor elevated in accordance with the community's <br />ioooplain management oroinance? E Yes n No ! Unkno.ln The local offrcral must certit thrs rnformation rn Section G <br />sEcTlor{ F - PROPERTY OWNER (OR OWNER'S REPRESENTATTVE) CERTtFTCATtON <br />The property owner or orne/s authorEed representatrve who completes Sections A B. and E for Zone A (wfhoul a FEMArssueo or <br />communrtyrssued BFE)or Zone AO mL/st sqn here The statements rn Seclrons A 8, and E are conect to the best ol my knowledg€ <br />Property Owner or Owne/s Authorized Representahve's Name <br />Crty State ZIP Code <br />SrgnatLrre Oate Telsphone <br />Comments <br />n Check here if attachments <br />FEMA Form 086-0'33 (7/15)Replac€s all prevrous edrtons Form Page 3 of 6 <br />ELEVATION CERTIFICATE <br />Address