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Get 3O67OO77 Expires July 31, 1999 ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL

Aiver of the flood insurance purchase requirement. This form is used only to pro vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid 0MB control number is displayed in the upper right corner of this form. Instructions f.

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