Elevation Certificate Template - Douglas County Page 6

BUILDING PHOTOGRAPHS

OMB Control Number: 1660-0008

ELEVATION CERTIFICATE,

page 5

Continuation Page

Expiration: 11/30/2018

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 submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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.

FEMA Form 086-0-33 (7/15)

Replaces all previous editions.

Page 7 of 15

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Parent category: Business