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<br />fLOODPLAIN DEVELOPMENT PERMIT <br /> <br />. <br /> <br />Applicant Information <br /> <br />Permit Number <br /> <br />Date <br /> <br />Owner <br /> <br />, Telephone <br /> <br />Address <br /> <br />Contractor <br /> <br />Telephone <br /> <br />Address <br /> <br />Project Location/Directions <br /> <br />Project Description <br /> <br />___Single family Residential ___New Construction <br /> <br />___Multi-Family Residential ___Substantial Improvement ( 50%) <br /> <br />___Manufactured (Mobile) Home ___Improvement ( 50%) <br /> <br />___Non-Residential <br /> <br />___Rehabilitation <br /> <br />. <br /> <br />___Watercourse alteration <br /> <br />___Fill <br /> <br />___Bridge/Culvert <br />Other/Explanations <br /> <br />___Levee <br /> <br />Flood Hazard Data <br /> <br />Watercourse Name <br /> <br />Jurisdiction <br /> <br />The project is proposed in the <br /> <br />Flood Conveyance Subdistrict <br />Flood Storage Subdistrict <br /> <br />Base (lOO-year) flood elevation(s) at project site <br /> <br />Elevation required for lowest floor <br /> <br />Floodproofing level (non-residential only) <br />Source Document/Report/Maps <br /> <br />. <br /> <br />7776E <br /> <br />-35- <br />