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ELEVATION CERTIFICATE <br />OMB No 166G0O08 <br />ExBiraton Date November 30 20'18 <br />t <br />IITIPORTANT: ln thole rp.cc!, copy tho corrEpolding intorm.tion from Sectlon A. <br />Polisy NumberBuildirE SfBet Address (ancluding Apt , Unit. Suite, and/or Bldg No ) or P.O. RouE and Box No <br />5325 RHONDA AVE <br />Company NAIC Numbercity <br />SANTA ANA <br />StaE <br />CalitomE <br />ZIP Code <br />92703 <br />SECTION G - CO$ UNITY INFORIIIATION (OPTIONAL) <br />The local official nho is au$o.ized by law or o.dinance to administer the communiys f,oodpldn management ordinance can cotnplele <br />Sedbo6 A, 8, C (o. E), and G of this Elovatoo C€rtificab ConlpleE the applicsble iBn(E) and sjgn bslor . Check the rEasursnenl <br />us€d in lbms Grc10. ln Puerto Rico only, enb. metErs. <br />Gl E The infurmstion in Seclion C was taken from other docum€ntation tllat has b€€n sEn€d and sealed by a licensed surveyor, <br />engino€f, o. arEfiited tttlo E authofized by law to certrfy olsvatbn rn{ormation (lndicat€ tr€ so(.rrce and date of tE elevaton <br />data io t€ CornrngnB aros below. ) <br />fl A coomunity otfcial complebd Sedion E for a buildrrE locabd in Zon€ A (wthout a FEMA-issued or communrty-issued BFE) <br />or Zono AO. <br />G3 ! Th€ following information (lt€Ins Grc10) rs provded br co{nmunrty ioodplain manag€ment purposes <br />G2 <br />G5 Date Pe.m[ lssuedG4 Permi Nlmber Ci6 Date C€rtifcate ol <br />Compl€nc€/Ocopancy lssued <br />G7. Thls perm[ has b€€n issu€d for E Nsw Construction E Substantral lmprowment <br />G8. Elevaioo ol as-buitt lovrst ioor (including basemeot) <br />of the building: <br />G9. BFE or (in Zono AO) d€pth ot nooding at the building Erb <br />E tuet E mele6 <br />E bs,t E metels <br />Dalum <br />Datum <br />DatumG10 Communiys design flood olevatron E bet E meters <br />Loc€l Offcial's Name T tle <br />Communrty Name Telephone <br />Signrture Dale <br />Commeots (indLdrm type of equipment and location. per C2(e), if apprcable) <br />E Ch6ck here attachments <br />FEMA Form 086-G33 (7/15)Repla@s all prevroLs edrtDns Form Pa€e 4 of 6 <br />l'o^.^"*d"Ec#i]ffi