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6501 SW 65 ST_YELLOW FLOOD Documentation for 2-Year PRP Eligibility Extension If your property was newly designated in a Special Flood Hazard Area as a result of a flood map revision effective on or after October 1, 2008, please have your local community official complete the information below. Return this document to your insurance agent/company to determine if your property qualifies for this extension. Property Owner: 'r ) 'mall . 15M t Property Address: 65-61 za� 65 5-r Building Description: Residential ❑ Nonresidential Prior Map Date: ��-�. Z" l ciCj L� J Prior Community Number, Map Panel&Suffix: _ � � f � d IV Prior Flood Zone: A Z.:e kA q Gtr` Narde of Community Official Community Official Title Ge T A4 Li-A/0 3pj�� -s 6-35-3 Community ame Telephone Number a � Signature YconToity O icial Date Comments(optional): FD 00 96 004340(3:4):48056.1135 '1 1 I' ' I i.',I`I ' I'1 I I (; i�+''; 1 "1 1 11111'1 1 1'1111' V w II't'i i,i' ,'lA"',! I �'�' '�' ;!i!'1.1'I!' I'I'1'I'! 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