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The document is an application form from the U.S. Department of Homeland Security's Federal Emergency Management Agency (FEMA) for requesting amendments to National Flood Insurance Program maps. It specifically allows property owners to request the removal of a single structure or parcel of land from designated Special Flood Hazard Areas (SFHA) through a Letter of Map Amendment (LOMA). The form outlines the necessary information required for submission, including property details, elevation data, and certifications by licensed professionals. It emphasizes that incomplete submissions may lead to processing delays and provides instructions for submitting supporting documents.

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