Flood Hazard Area Development Application Form - City Of Waterville Page 4
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4FLOOD HAZARD AREA DEVELOPMENT PERMIT
This permit is issued based on documentation that the information provided in the Flood Hazard
Development Permit Application is in compliance with Chapter 1321, City of Waterville, Lucas
County Flood Damage Reduction Regulations.
Address or property location: ________________________________________________
Lucas County Auditor’s Tax Parcel Number _____________________________________
Description of development activity: ___________________________________________
_________________________________________________________________________
The permittee understands and agrees that:
• An as-built Elevation Certificate will be submitted to the Floodplain Administrator after the
first floor of a new, substantially improved, or substantially damaged, residential or non-
residential structure is constructed;
• A final Letter of Map Revision will be obtained where a Conditional Letter of Map
Revision was required as part of the permit application;
• The permit is issued on the representations made herein and on the application for
permit;
• The permit may be revoked because of any breach of representation;
• Once a permit is revoked all work shall cease until the permit is reissued or a new permit
is issued;
• The permit will not grant any right or privilege to erect any structure or use any premises
described for any purposes or in any manner prohibited by the codes or regulations of
the City of Waterville;
• The permittee hereby gives consent to the Floodplain Administrator to enter and inspect
activity covered under the provisions of the Floodplain Management Regulations;
• The permit form will be posted in a conspicuous place on the premises in plain view; and,
• The permit will expire if no work is commenced within one year of issuance.
Issued by: _________________________________
Date:__________________
Floodplain Administrator
Permit Number:___________________
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