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HomeMy WebLinkAboutFEMA MT-1 Form 1 online version LOMR-F 3/22/22, 11:34 AM https://hazards.fema.gov/femaportal/onlinelomc/amendment/Summary/load.action LOMC Application Application ID: 4209269535493 Amendment -.._.-...............__.._._._..-__....._ .............----...-.�....__....._.._.......... ............ ............. -.__._..._..._.. _..._...... _.._ ..._._._.__._..__..........._.___._............._............_._..........._....................................................................................... 1 Amen.� dment_t Rev.. iew.. Property Information Form -- --. Letter of Map Amendment Type: LOMR-F Fill Section - Has fill been placed on your property to raise ground that was previously below the BFE? Yes When was fill placed? 09/2020 Will fill be placed on your property to raise ground that is below the BFE? No When will fill be placed? Street Address of Property j Address Legal Description Lot: 225 Block/Section: 11 Elm Street Cotuit, MA 02635 Subdivision: Property Description: Legal Description of Property Requesting that a flood zone determination be completed for: A portion of land within the bounds of the property Date of Construction: Lot Type: Single lot Number of structures: Number of lots: Applicant Information - - - -- Applicant Title: Mr. First Name: Timothy Last Name: Luff Address 1: 11 Elm Street https://hazards.fema.gov/femaportal/onlinelomc/amendment/Summary/load.action 1/2 3/22/22, 11:34 AM https://hazards.fema.gov/femaportal/onlinelomc/amendmenVSummary/load.action Address 2: City: Cotuit State, District or Territory: MA ZIP Code: 02635 Email Address: mail@bssdesign.com Company: BSS Design, Inc Phone: 508-540-8805 Fax: 508-548-8313 https://hazards.fema.gov/femaportal/onlinelomc/amendment/Summary/load.action 2/2