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OMB No. 16600008 Expires February 28, 2009, ELEVATION CERTIFICATE U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions
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James Smith
The owner of the building or their authorized representative
The form can be filled out online or submitted in person at the city office
To keep a record of the current owner of the building for legal and administrative purposes
Owner's full name, contact information, and proof of ownership
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