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Kroll Page � � U� <br />CITY OF EVERETT q <br />CERTIFICATION OF LOT STATUS II I Z"/(� <br />DATE � -,• ��� <br />A lot which qualifies as a substandard lot, as provided by Subsection 38.080.A.1 of <br />the Everett Zoning Code, must be certified as a nonconforming lot prior to the <br />issuance of a building permit. In ordcr to be certifled as a legal lot for building <br />purposes, the applicant shall provide sufficient information to verify that the lot <br />was legally created and that all applicable City Zoning Code requirements in effect <br />at the time the lot was created were met, or that the lot caas created prior to <br />annexation to [he City and met the minimum Zoning Code requirements of Snohomish <br />County at the time the lot was established. <br />TO BE FILLED OUT DY APPLICANT: <br />Owner: (�ct�- �� f f �� t� n A� t' Phone: �� .] -70 0/ <br />Address: '7 ( 17 %�i a^ r t S!+ n 3�� <br />'c�_-�'Tt' 1 ' ri�4, q � �c.! _ <br />Address of lot being certified: ,;tG i� �'/� '� �a��� <br />Asaessor's Account No. .s��� � 3 �G"f ��7 � <br />Legal Description: �.. 7`" 7�/ ih %N�i �� �°^`�'� Z"'�' �� /S�'���/�' <br />Date of Annexation: <br />Document <br />(copy to be attached) <br />Mortgage <br />Warranty Deed <br />quitclaim Deed <br />Deed of Trust <br />Real Estate Contract <br />Other <br />Auditor's File No. <br />•��• <br />/ . <br />I hereby certify that the above information is true and correct to the best of my <br />knowledge. <br />��CLI.c rzp � �c.+.�t� <br />Applicant <br />The followin is to be determined by Planning Department: <br />The lot � oes not meet Zoning Code/Subdivision requirements in effect at the <br />time the above transaction(s) i�were) recorded in the County Auditor's Office. <br />I hereby find that the above parcel � is not a legal lot for building purposes <br />under the City Zoning and Subdivision Co This certification 3s subject to <br />revocat�on if it is found that the information upon which it is based is erroneous. <br />��: <br />1151d <br />� <br />luthorized Signature <br />Date � � <br />Building Department - for addrecs file <br />Ocmer/Purchaser <br />l�./ <br />� <br />I ,D <br />� � <br />� � I� <br />V <br />� <br />