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CITY OF SANTA ANA <br />Manning and Building Agency <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: <br />FOR INSURANCE COMPANY USE <br />Policy Number:. <br />512 HUYLARS LN <br />City: SANTA ANA State: CA ZiP Code: 92703 <br />Company NAIC Number: <br />SECTION H - BU"ING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES <br />(SURVEY NOT REQUIRED) (FOR INSURANCE PURPOSES ONLY) l <br />The property owner, owner's authorized representative, or local floodplain management official may complete Section H for all flood zones <br />to determine the building's first floor height for insurance purposes. Sections A, B, and i must also be completed. Enter heights to the <br />nearest tenth of a foot (nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams (at the end of Section H <br />Instructions) and the appropriate Building Diagrams (at the end of Section I Instructions) to complete this section. <br />H1. Provide the height of the top of the floor (as indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG) -- <br />a) For Building Diagrams 1A, 1 B, 3, and 5-8. Top of bottom ❑ feet ❑ meters ❑ above the LAG <br />floor (include above -grade floors only for buildings with <br />crawlspaces or enclosure floors) is: <br />b) For Building Diagrams 2A, 213, 4, and 6-9. Top of next ❑ feet ❑ meters ❑ above the LAG <br />higher floor (i.e., the floor above basement, crawlspace, or <br />enclosure floor) is: <br />H2. Is all Machinery and Equipment servicing the building (as listed in Item H2 instructions) elevated to or above the floor indicated by the r <br />H2 arrow (shown in the Foundation Type Diagrams at end of Section H instructions) for the appropriate Building Diagram? <br />Yes ❑ No <br />SECTION I - PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION <br />The property owner or owner's authorized representative who completes Sections A, B, and H must sign here. The statements in Sections <br />A, B, and H are correct fo the best of my knowledge. Note: If the local floodplain management official completed Section H, they should <br />1 indicate in Item G2.b and sign Section G. <br />Check here if attachments are provided (including required photos) and describe each attachment in the Comments area. <br />Property Owner or Owner's Authorized Representative Name: _ <br />Address: <br />City: State: _ ZIP Code: <br />Telephone: Ext.: Email: _ <br />Signature: Date: <br />Comments: <br />I <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8123) <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />BUILDING PHOTOGRAPHS <br />See Instructions for Item A6. <br />Form Page 6 of 8 <br />Building Street Address (including Apt., Unit, Suite, and/'or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE <br />512 HUYLARS LN <br />Policy Number: <br />City: SANTA ANA State: CA ZIP Code: 92703 € <br />Company NAIC Number: <br />instructions: Insert below at least two and when possible four photographs showing each side of the building (for example, may only be <br />able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and "Front View," "Rear View," <br />"Right Side View," or "Left Side View." Photographs must show the foundation. When flood openings are present, include at least one <br />j Close-up photograph of representative floodopenings or vents, as indicated in Sections AS and A9. <br />Photo Two <br />Photo Two Caption: <br />Clear Photo T' <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 7 of 8 <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />BUILDING PHOTOGRAPHS <br />Continuation Page <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: FOR INSURANCE COMPANY USE <br />512 HUYLARS LN <br />- Policy Number: <br />City: SANTA ANA State: CA ZIP Code: 92703 <br />i Company NAIC Number: <br />Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front View," "Rear View," "Right Side <br />View," or "Left Side View:" When flood openings are present, include at least one close-up photograph of representative flood openings or <br />vents, as indicated in Sections A8 and Ag.. <br />Photo Four <br />Photo Four Caption: <br />Clear Photo F€aur <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.G. Route and Box No.: <br />FOR INSURANCE COMPANY USE <br />Policy Number: <br />512 HUYLARS LN <br />City: SANTA ANA State: CA ZIP Code: 92703 <br />Company NAIC Number: <br />f' SECTION E -- BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED) <br />FOR ZONE AO, ZONE ARIAO, AND ZONE A ( WITHOUT BFE) <br />For Zones AO, ARiAO, and A "without BFE), complete Items E1-E5. For Items El-E4, use natural grade, if available, if the Certificate is <br />t ) <br />I intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement used. In Puerto Rico only, <br />I <br />enter meters. <br />Building measurements are based on: Z Construction Drawings" [7, Building Under Construction* ❑ Finished Construction <br />*A new Elevation Certificate will be required when construction of the building is complete. <br />El. Provide measurements (C.2.a in applicable Building Diagram) for the following and check the appropriate boxes to show whether the <br />measurement is above or below the natural HAG and the LAG. <br />a) Top of bottom floor (including basement, <br />I crawlspace, or enclosure) is: 0.75 ZI feet ❑ meters X above or '`] below the HAG. <br />I <br />b) Top of bottom floor (including basement, <br />crawlspace, or enclosure) is: 1'.53 Z, feet ❑ meters ® above or ❑ below the LAG. <br />E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions); the <br />next higher floor (C2.b in applicable <br />Building Diagram) of the building is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. <br />E3. Attached garage (top of slab) is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. <br />E4. Top of platform of machinery and/or equipment <br />servicing the building is: ❑' feet ❑ meters above or ❑below the HAG. <br />i <br />E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in, accordance with the community's <br />floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must certify this information in Section G. <br />SECTION' F - PROPERTY OWNER (OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION' <br />The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without BFE) or Zone AO must i <br />sign here. The statements in Sections A. B, and E are correct to the best of my knowledge <br />❑ Check here if attachments and describe in the Comments area. <br />Property Owner or Owner's Authorized Representative Name: MINH TRAN <br />Address: 512 HUYLARS LN <br />City: SANTA ANA State: CA ZiP Code: 92703 <br />Telephone: (714) 420-8153 Ext,: Email: <br />Signature: u Date: <br />Comments: -,�-_ <br />I <br />i <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />Form Page 4 of 8 <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: <br />FOR INSURANCE COMPANY USE <br />I Polley Number: <br />512 HUYLARS LN - <br />City: SANTA ANA State: CA ZIP Code: 92703 <br />Company NAIC Number: <br />SECTION G --• COMMUNITY INFORMATION (RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION) <br />i' <br />The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete i <br />Section A, B, C, E, G, or H of this Elevation Certificate. Complete the applicable item(s) and sign below when: <br />G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, <br />engineer, or architect who is authorized by state law to certify elevation information. (Indicate the source and date of the <br />elevation data in the Comments area below.) <br />G2.& ❑ A local official completed Section E for a building located in Zone A (without a BFE), Zone AO, or Zone AR/AO, or when item <br />E5 is completed for a building located in Zone AO. <br />G2.b. ❑ A local official completed Section H for insurance purposes. <br />G3. ❑ In the Comments area of Section G, the local official describes specific corrections to the information in Sections A, B, E and H. <br />G4_ ❑ The following information (items G5-G11) is provided for community floodplain management purposes. <br />i G5. Permit Number: G6, Date Permit Issued: <br />G7. Date Certificate of Compliance/Occupancy Issued: <br />G8. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement <br />G9.a. Elevation of as -built lowest floor (including basement) of the <br />building: ❑ feet ❑ meters Datum: <br />G9.b. Elevation of bottom of as -built lowest horizontal structural <br />member: ❑ feet ❑ meters Datum: <br />G10.a. BFE (or depth in Zone AO) of flooding at the building site: [] feet ❑ meters Datum: <br />r G10.b. Community's minimum elevation (or depth in Zone AO) <br />requirement for the lowest floor or lowest horizontal structural <br />member: ❑ feet ❑ meters Datum: <br />G11. Variance issued? ❑ Yes ❑ No If yes, attach documentation and describe in the Comments area. <br />The local official who provides information in Section G must sign here. I have completed the information in Section G and certify that it is <br />I correct to the best of my knowledge. If applicable, i have also provided specific corrections in the Comments area of this section. <br />Local Official's Name: Title: <br />NFIP Community Name: <br />I <br />i <br />Telephone: Ext.: Email: <br />Address: <br />City: State: ZiP Code: <br />Signature: Date: <br />Comments (ncluding type of equipment and location, per C2.e; description of any attachments; and corrections to specific information in <br />Sections A, B, D, E, or H): <br />1 <br />U.S. DEPARTMENT OF HOMELAND SECURITY OMB Control No. 1660-0008 <br />Federal Emergency Management Agency Expiration Date: 06/30/2026 <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE <br />IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />rnnv all nnncc of fhic Flcvafinn ('.ortifirnfo anri all affnrhmants fnr (1) rnmmunity official. (2) insurance aaent/comoanv. and (3) buildino owner. <br />SECTION A -PROPERTY INFORMATION' <br />FOR INSURANCE COMPANY USE <br />Al. Building Owner's Name: MINH TRAN Policy Number: <br />A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: Company NAIC Number: <br />512 HUYLARS LN <br />City: SANTA ANA State: CA ZIP Code: 92703 <br />A3. Property Description (e.g., Lot and Block Numbers or Legal Description) and/or Tax Parcel Number: <br />AP N: 100-573-34 <br />A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.): RESIDENTIAL <br />A5. Latitude/Longitude: Lat. 33.749353 Long.-117.925833 Horiz. Datum: ❑ NAD 1927 ® NAD 1983 ❑ WGS 84 <br />A6. Attach at least two and when possible four clear color photographs (one for each side) of the building (see Form pages 7 and 8). <br />AT Building Diagram Number: 1 B <br />A8. For a building with a crawlspace or enclosure(s): <br />a) Square footage of crawlspace or enclosure(s): sq. ft. <br />b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes ❑ No ❑ N/A <br />c) Enter number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade: <br />Non -engineered flood openings: Engineered flood openings: <br />d) Total net open area of non -engineered flood openings in A8.c: sq. in. <br />e) Total rated area of engineered flood openings in A8.c (attach documentation - see Instructions): sq. ft. <br />f) Sum of A8.d and A8.e rated area (if applicable - see Instructions): sq. ft. <br />A9. For a building with an attached garage: <br />a) Square footage of attached garage: sq. ft. <br />b) Is there at least one permanent flood opening on two different sides of the attached garage? ❑ Yes ❑ No ❑ N/A <br />c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade: <br />Non -engineered flood openings: Engineered flood openings: <br />d) Total net open area of non -engineered flood openings in A9.c: sq. in. <br />e) Total rated area of engineered flood openings in A9.c (attach documentation - see Instructions): sq. ft. <br />f) Sum of A9.d and A9.e rated area (if applicable - see Instructions): sq. ft. <br />SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION <br />B1.a. NFIP Community Name: SANTA ANA B1.b. NFIP Community Identification Number: 060232 <br />B2. County Name: ORANGE B3. State: CA B4. Map/Panel No.: 06059CO143 B5. Suffix: J <br />B6. FIRM Index Date: 09/15/1989 B7. FIRM Panel Effective/Revised Date: 12/03/2009 <br />B8. Flood Zone(s): A B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 63.5ft <br />B10. Indicate the source of the BFE data or Base Flood Depth entered in Item 139: <br />❑ FIS ❑ FIRM ❑ Community Determined ® Other: Hydrology report <br />B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: <br />B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No <br />Designation Date: ❑ CBRS ❑ OPA <br />B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑ Yes ® No <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) <br />ELEVATION CERTIFICATE <br />IMPORTANT- MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 <br />Form Page 2 of 8 <br />Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: <br />FOR INSURANCE COMPANY USE <br />Policy Number: <br />512 HUYLARS LN <br />City: SANTA ANA State: CA ZIP Code: 92703 <br />Company NAIC Number: <br />SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) <br />Cl. Building elevations are based on: ® Construction Drawings" ❑ Building Under Construction* ❑ Finished Construction <br />*A new Elevation Certificate will be required when construction of the building is complete. <br />C2. Elevations - Zones Al-A30, AE, AH, AO, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO, <br />A99. Complete Items C2.a-h below according to the Building Diagram specified in Item AT In Puerto Rico only, enter meters. <br />Benchmark Utilized: SA-226-70 Vertical Datum: 71.775 ft, Year leveled: 2005 <br />Indicate elevation datum used for the elevations in items a) through h) below. <br />❑ NGVD 1929 ® NAVD 1988 ❑ Other: <br />Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? ❑ Yes ® No <br />If Yes, describe the source of the conversion factor in the Section D Comments area. <br />Check the measurement used: <br />a) Top of bottom floor (including basement, crawlspace, or enclosure floor): 75.30 ® feet ❑ meters <br />b) Top of the next higher floor (see Instructions): ❑ feet ❑ meters <br />c) Bottom of the lowest horizontal structural member (see Instructions): ❑ feet ❑ meters <br />d) Attached garage (top of slab): ❑ feet ❑ meters <br />e) Lowest elevation of Machinery and Equipment (M&E) servicing the building <br />(describe type of M&E and location in Section D Comments area): ❑ feet ❑ meters <br />D Lowest Adjacent Grade (LAG) next to building: ❑ Natural ® Finished 73.77 ® feet ❑ meters <br />g) Highest Adjacent Grade (HAG) next to building: ❑ Natural ® Finished 74.55 ® feet ❑ meters <br />h) Finished LAG at lowest elevation of attached deck or stairs, including structural <br />support: ❑ feet ❑ meters <br />SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION <br />This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by state law to certify elevation <br />information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any <br />false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. <br />Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No <br />® Check here if attachments and describe in the Comments area. <br />Certifier's Name: Truong T.Dong License Number: C 75466 <br />Title: Principal Engineer QpOFESS/p4,� <br />f <br />Company Name: Dong Engineering, Inc.�,��=2 <br />Address: 7661 Graden Grove Boulevard C 54 6 M <br />City: Graden Grove State: CA ZIP Code: 92841 ,� M 03/31/2026 <br />Telephone: (714) 617-5979 Ext.: Email: info@dongengineering.com ,� CIVIL <br />9� <br />OF cAlOf <br />Signature: Date: _ 12/23/2025_ <br />Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. <br />Comments (including source of conversion factor in C2; type of equipment and location per C2.e; and description of any attachments): <br />FF = 75.30 ft > 63.5ft from hydrology study <br />Form Page 3 of 8 <br />National Flood Insurance i'rogrApproved <br />OR PERMIT ISSUANCE <br />EIluv IAN <br />M a,, I-): <br />r1 <br />C rt f -a te <br />2023 EDITION <br />U.S. DEPARTMENT OF HOMELAND SECURITY <br />Federal Emergency Management Agency <br />National Flood Insurance Program <br />ELEVATION CERTIFICATE AND INSTRUCTIONS <br />OMB Contrd No, 1660-008 <br />Expiration, Dates 06/30/2026 <br />PAPERWORK REDUCTION ACT NOTICE <br />Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for <br />reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. <br />You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments <br />regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management: I <br />Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20742, Paperwork <br />Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. <br />PRIVACY ACT STATEMENT <br />3 Authority: Title 44 CFR § 61.7 and 61.8. <br />Principal Purpose(s): This information is being collected for the primary purpose of documenting compliance with National Flood <br />Insurance Program (NFIP) floodplain management ordinances for new or substantially improved structures in designated Special Flood <br />Hazard Areas. This form may also be used as an optional tool for a Letter of Map Amendment (LOMA), Conditional LOMA (CLOMA), Letter <br />of Map Revision Based on Fill (LOMR-F), or Conditional LOMR-F (CLOMR-F), or for flood insurance rating purposes in any flood zone. <br />Routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, <br />as amended. This includes using this information as necessary and authorized by the routine uses published in DHSI FEMA-003- National <br />Flood insurance !grogram Files System of Records Notice 79 Fed. Reg. 28747 (May 19, 2014) and upon written request, written consent, by <br />agreement, or as required by law. <br />Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may impact the <br />t flood insurance premium through the NFIP. Information will only be released as permitted by law. <br />{ PURPOSE OF THE ELEVATION CERTIFICATE i <br />The Elevation Certificate is an important administrative tool of the NFIP. It can be used to provide elevation information necessary to ensure I <br />compliance with community floodplain management ordinances, to inform the proper insurance premium, and to support a request for a <br />LOMA, CLOMA, LOMR-F, or CLOMR-F. <br />The Elevation Certificate is used to document floodplain management compliance for Post -Flood Insurance Rate Map (FIRM) buildings„ <br />which are buildings constructed after publication of the FiRM, located in flood Zones Al--A30, AE, AH, AO, A /with Base Flood Elevation <br />(BFE)), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, ARIAH, AR/AO, and A99. It may also be used to provide elevation <br />information for Pre -FIRM <br />e IRM buildings or buildings in any flood zone. <br />As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain <br />management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain <br />the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such <br />information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain <br />management ordinance. <br />Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal <br />Emergency Management Agency (FEMA) can amend the FIRM and remove the federal mandate for a lending institution to require the <br />purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been <br />issued by FEMA. The Elevation Certificate may be used to support a LOMA, CLOMA, LOMR-F, or CLOMR-F request. Lowest Adjacent <br />Grade (LAG) elevations certified by a land surveyor, engineer, or architect, as authorized by state law, will be required if the certificate is <br />used to support a LOMA, CLOMA, LOMR-F.. or CLOMR-F request. A LOMA, CLOMA, LOMR-F, or CLOMR-F request must be submitted <br />with either a completed FEMA MT-EZ or MT-1 application package, whichever is appropriate. If the certificate will only be completed to <br />#r support a LOMA, CLOMA, LOMR-F, or CLOMR-F request, there is an option to document the certified LAG elevation on the Elevation Form <br />E included in the MT-EZ and MT-1 application, <br />This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFiP, non-residential <br />buildings can be floodproofed up to or above the BFE_ A floodproofed building is a building that has been designed and constructed to be <br />watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP <br />unless FEMA has granted the community an exception for residentia€ floodproofed basements. The community must adopt standards for <br />design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential <br />buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate <br />I is required. <br />The expiration date on the form herein does not apply to certified and completed Elevation Certificates, as a completed Elevation Certificate <br />does not expire, unless there is a physical change to the building that invalidates information in Section A Items A8 or A9, Section C, Section ; <br />j E, or Section H. In addition this form is 'intended for the specific building referenced in Section A and is not invalidated by the transfer of <br />building ownership. <br />,Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin_ Elevation Certificate. <br />FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) Form Page 8 of 8 <br />F =MA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) <br />Form Page 5 of 8 FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (8/23) <br />FEMA Form FF-206,FY-22-142 (formerly 086-0-33) (8123) <br />Form Page 1 of 8 <br />