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Shadydale Ln 129Metro Safe Room Rebate Program (MSRRP) Floodplain Verification Form Date:6 /5/13 Applicant Information: Name: Marc Durso Address: 129 Shadydale Lane City: Coppell Email Address: kddurso @verizon.net State:Tx Local Floodplain Representative (LFR): Name: Michael Garza, P.E., CFM Email Address: mgarza @coppelltx.gov Zip: 75019 Phone Number: Title: Civil Engineer Phone Number: 972-304-7019 DISCLAIMER: According to the maps provided by the National Flood Insurance Program (NFIP) and available to the local entity, the property listed above does not appear to be in the Special Flood Hazard Area (SFHA) or in a designated FEMA Flood Zone A. The Local Floodplain Representative (LFR) listed above does not verify the establishment or confirm the location of SFHA floodplain areas with respect to property limits or structures. Note thatSFHA's on NFIP maps are not a guarantee that anyparticular location is notsubject to inundation, only that it is denoted as reasonably safe from flooding. LFR Signatu Applicant: Please upload /submit the completed document as "your name_FPVerification" with your application as you set -up your user profile at: www.nctsaferoom.com.