Ltrs/info from FEMA, etc re Christian Family Church

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, In addition to this form(MT-1 Form 1),ALL requests must inciude the following: • Copy of the effective FIRM panel and/or Flood Boundary and Floodway Map(FBFM)(rf applicable)on which the property location has been accurately plotted(property inadvertently located in the NFIP regulatory floodway will require Section B of MT-1 Form 3) • Copy of the Plat Map for the property(with recordation data and stamp of the Recorde�s Office) OR • Copy of the property Deed(with recordation data and stamp of the Recorde�'s Office),accompanied by a tax assessor's map or other certified map showing the surveyed location of the property relative to local streets and watercourses • Form 2—Elevation Form. If the request is to remove the structure,and an Elevation Certificate has already been completed for this property, it may be submitted in lieu of Form 2. If the request is to remove the entire Iegaliy recorded property,or a portion thereof,the lowest lot elevation must be provided on Form 2. Please include a map scale and North arrow on all maps submitted. For LOMR-Fs and CLOMR-Fs,the following must be submitted in addition to the items listed above: . Form 3—Community Acknowledgment Form Processinq Fee(see instructions tor appropriate mailing address;or,visit http:NK�n;.iema.gov�fhrrt;fnn_4e�s.sh2m fOf the most current fee schedule) Revised fee schedules are pubiished periodiqlly,but no more than once annually,as noted in the Federal Register. Please note: singlelmultipie lot(s)/structure(s)LOMAs are fee exempt. The current review and processing fees are listed below: Check the fee that applies to your request: ❑$325(single IoUstructure LOMR-F following a CLOMR-F) ❑$425(single IoUstructure LOMR-F) ❑$500(single lot/structure CLOMA or CLOMR-F) ❑$700(multiple lot/structure LOMR-F following a CLOMR-F, or multiple IoUstructure CLOMA) ❑$800(multiple IoUstructure LOMR-F or CLOMR-F) Please submit the Payment Information Form for remittance of applicable fees. Please make your check or money order payable to:National Flood Insurance Proqram. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any faise statement may be punishable by fine or imprisonment under Title 18 of the United Sta#es Code,Section 1001. ApplicanYs Name: �1� �-t''�,V J(��1 Company: �!1 r�S'�1��''`(,��,�'` y Please Print or Type ��\� ��Y��` Mailing Address: � ��J��,, �� Daytime Telephone No.: � a3� l��r� �� '�) � �U�-��5-�ta� E-Mail Address: �� "'" `-�"`�� Fax No.: f (optionai) �� ^4 J� ��,� Date Signature of Applicant(required) If you have any questions conceming DHS-FEMA policy,or the NFIP in general,please contact the FEMA Map Assistance Center toll free at 1-877- FEMA MAP(1-877-336-2627),or visit the Flood Hazard Mapping website at http://wv�nn�.fema.gov/'hmi. DHS-FEMA Form 81-87, DEC 07 Property Information Form MT-1 Form 1 Page 2 of 2