Fema Form 086-0-33 Elevation Certificate Page 7

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BUILDING PHOTOGRAPHS
OMB No. 1660-0008
ELEVATION CERTIFICATE
See Instructions for Item A6.
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
City
State
ZIP Code
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo One
Photo One Caption
Clear Photo One
Photo Two
Photo Two Caption
Clear Photo Two
Form Page 5 of 6
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.

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