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Kroll Page ui F <br />CITY OF EVERETT <br />CERTIFICATION OF LOT STA US t <br />DATE ci ao_ 1W <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 order to be certified 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 was created prior to <br />annexation to the City and met the minimum Zoning Code requirements of Snohomish <br />County at the time the lot was -stablished. <br />TO BE FILLED O�UTTJ BY APPLICANT: <br />Owner: �/ i�C( Cl ��V °/ �J t (c l/ Phone: <br />Address: �J %-�c j <br />E✓-e . G U CR <br />Address of lot being certified: col 3 %X �V Per <br />Assessor's Account No. <br />Legal Description: LUJ U <br />75 <br />Date of Annexation: <br />Document Date Auditor's File No. <br />(copy to be attached) <br />Mortgage <br />Warranty Deed <br />Quitclaim Deed <br />Deed of Trust <br />Real Estate Contrac= <br />Other <br />I hereby certify that the above information is true and correct to the best of my <br />knowledge. <br />4AI'can—t— <br />The following is to be determined by Planning Department: <br />The lot does/desamC. meet Zoning Code/Subdivision requirements in effect at the <br />time the above transaction(s) woo(were) recorded in the County Auditor's Cifice. <br />I hereby find that the above parcel is/is.wm* a legal lot for building purposes <br />under the City Zoning and Subdivision Codes. This certification is subject to <br />revocation if it is found that the information upon which it is based is erroneous. <br />Authorized Signature <br />Date <br />cc: Building Department — for address file <br />Owner/Purchaser <br />1151d <br />