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� � � . <br /> t <br /> Kr�ll Page 3 � <br /> CITY OF EYENETT <br /> CENi'IFICATION OF LOT STATUS 0 �3-Sa <br /> ��� DATE 11cT��g� <br /> qy � � To certify lots that do not meet current zoning code requirements. Such lots uill <br /> t" not be considered legal lots for building purposes unless Aocumentation as listed <br /> below is provided as to the date the loE was created and that all City code <br /> �y � requiremants in effect at t!�at tlme uere met, or that the pareel uas in existence <br /> O t�O prlor to annexation to the City and met County requirements at the time they Nero <br /> htl H htl created. <br /> y <br /> �� <br /> Qy ty TO BE FILLED OUT BY APPLICpNT: <br /> nOM�]ty 1 �-�. \ u c�1 <br /> R1� Owner: 1 �1�1(1 ���JV Phoner „ZQ(n 7 15 �-� I <br /> ay� Addreeas ��(J1-7 W C.G.SI G� n �� <br /> t" <br /> �dy Address of lot being certifie�:: S,(��n��' flF 7.r7,� a.n� Qeu��\�/ ���" <br /> �y��"j Assessor's Aecount No. �q lll ��� �Fn �� �� <br /> �ON — <br /> Legal Deseriptlon: ��C� : � C � <br /> --��Y � <br /> Date of Annexation: <br /> Document Datr. Auditor's FSle Ko. <br /> (copy to be attscir.d) <br /> MortgF.ge ,__ _ <br /> Narranty Deed __ <br /> Quitelaim Deed <br /> Deed of Trust — <br /> 'w' peal Estate Contract _ <br /> Other <br /> '�' CCX.O'A�'�( z0�1 I G, �i't�4� <br /> ' ' I hereby certify that the above information is true and correet Lo the best of my <br /> ' ' knoWledge. <br /> ,=, � ���1�.���. <br /> ' ' Applicant <br /> � <br /> �1 _ -- <br /> �' The following Ls to be determined bj: Pl���ning Department: <br /> � ' Tha lo�� o�es oes not meeb�ZonLnB_Code/3ubdLvtsio requirements Sn effect at Lhe <br /> ' ' time the aFiove transactlon(s�t+:rstc+ere �'recoP3ed ln the County Auditor's Offlce. <br /> I hereby find that the aboee parcel Ls a legal lot for building purposes under tne <br /> �,�,� ^_ity Zonin� and Subdivision Codes. Thivi certification is sub,�ect tc revocatlon if <br /> ' it is fo�.�nd that the information upon whlch it is based is erroneous. <br /> Authorized Slgna -�+�a � _ �� <br /> Date c-,cT 31 , � � Rk <br /> cc: �utl�iing Department - for address file <br /> Own��r/Puretiaser <br /> o�39F q �� Z - <br /> � l,O1NN "�CN11\)(C� �}�OS "AT�1.' S\ �t. ,-�'E ���� - <br /> �'�l)-�n�r�,r��� �='�FT, <br />