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U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management AgencyPermit # 214760OMB No. 16600008 Expiration Date: November 30, 2022National Flood Insurance ProgramELEVATION CERTIFICATE Important:
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How to fill out permit 21-4760

01
Obtain a copy of permit 21-4760 form from the appropriate issuing authority.
02
Fill out the top section of the form with your personal details such as name, address, and contact information.
03
Provide details of the project or activity for which the permit is being requested in the designated section.
04
Indicate the date and duration for which the permit is needed.
05
Sign and date the form to certify the information provided is accurate.
06
Submit the completed form along with any required documentation to the issuing authority for approval.

Who needs permit 21-4760?

01
Any individual or organization planning a project or activity that requires permission or authorization from the relevant authority.
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Permit 21-4760 is a document issued by the regulatory agency allowing the holder to engage in a specific activity or operation.
Any individual or entity engaging in the activity or operation specified in permit 21-4760 is required to file for the permit.
To fill out permit 21-4760, the applicant must provide all requested information, including details about the activity or operation, contact information, and any supporting documentation.
The purpose of permit 21-4760 is to regulate the specified activity or operation, ensuring compliance with relevant laws and regulations.
Information such as the type of activity or operation, location, duration, and any potential environmental impacts must be reported on permit 21-4760.
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