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l <br />Kroll Page i � (Y <br />CI1R OP EVFAkTT <br />ON OF LOT STATOS / % � `�`I <br />DATS � • / • �'� _ <br />A lot sihirh qualifiea as a substandard lot, ae provided by Subsection 3C�.t�80.A.1 of <br />the Everett Zoning Code, muat be certified ae a noncon.formiag lot prior to the <br />iaeuance of a building pers!!. In order 2o be certlfied ae a legal lot for building <br />purposes, [he applicant ehall provide eufficient informxt3om to verify that the lot <br />raaa legally created end that all applicable City Zoning Codc requiremente in effect <br />at the time t6e lot wae created were met, or ehat the lo�: kaa created prior [o <br />annexation to the City and �et the minim� Zon.tng Code requirementa of Snohomieh <br />County at the time the lot ras estebliehed. <br />TO BE FILLED OUT BY APPLICA2iTi <br />Owner: v���I A, �..�A�lE �. �oE'I� Phone: 25Z-8� 7J <br />Addrees: •.37ZZ J�a�"i' �Q ✓c' <br />VE'� %r'� 4 9 f�::� 1 <br />Addreae of lot being certified: .3%ZZ ti�t'i' QYc �.�i�ERc."il- `�`�'`�. <br />Aeeeeeor's Aecount No. <br />Legal Deecript4on: <br />��K IZ . �;r�n�i�. <br />Date of Aanezatione <br />Documert <br />(copy to�tached) <br />Mortgage <br />Warranty Deed <br />Qultclaim Deed <br />Deed o£ Truet <br />Real Eetate Contract <br />Other <br />3 a29a.r -�- olS- o0o i -- <br />Date <br />���5 E <br />� <br />Audi[or's File No. <br />rf..�7.sY.►i <br />��� _ <br />8c Ca-I.Ii�J4 <br />I hereby certify ttut the above informatloe in true aad correct to the beet of my <br />knowledge. <br />��'��_ <br />Applicant <br />The foiloWing Se to be determined by Planning Department: <br />The lot doee/di'.�i-meet 2oniag Code/SubdlvisYon requiremente in effect at the <br />time tne above traneaction(e) ��xere) recorded !n thn County Auditor'e Office. <br />I;iereby find that tha abore parcel ie%!�R a legal lot for building purposes <br />under khe City 2oning and Subdivieian Codee. Thie certification is subject to <br />revocation if it ie found that the information upon xhfch it ie based !e erroneous. <br />��> �� <br />Authorized Signatuze <br />Date l� � <br />cc: Building Department - for addreea file / <br />Ovner/Purchaser <br />1151d <br />. <br />