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� <br />/ j/i <br />Rroll Pa;e �j� <br />CIS! 0! EYSETT <br />Cg?IlIC�TION 0! LOT S'!�'N! / 7: 9¢ <br />DAlE 3/.��/�/cl <br />A lot which qualifies a� a�ub�tandard lot, a� pro�ided b� Subuction 38.OBO.A.1 of <br />the Bverett 2ocin; Coda, �u�t ba certlfied as a nonconfor�in; lot prior to thn <br />lsewnca of a bUilding penit. In ord�r to be certi!!ed a� a leaal lot for bulldlna <br />purpose�� tha applicaat ehall pro�ida suf!lcient inlor�ation to verif� ehat ehe lot <br />ea� leaell� created and that all applicabla Cit� Zonin6 Code require�enes !n effect <br />at tha tiM tha lot xu created vere �et� or that ehe lot wa� created prior co <br />anaautiou to ehe Cit� and �et the �ini ns 2onin6 Coda requira�ent� of Snoho�ish <br />Count� at tha ti�e elu lot ru a�eabli�h�d. <br />TO DE lILLED OUT DT ApPLICANTt <br />own.r: �'�n,N�-t-h� �hn/ ,7�nii rhon.: 2sZ-3�i�f-.� <br />Addreu: �5- .�.5 OftK S .A-d� <br />�p � <br />eear... o: loe e.�a� c.:a:�.a: 3s.? � cV4�rs /� �/� � v�i� f. � Z <br />Aa�e��or'� Accoune No. <br />L�t� ��criptians <br />Dat� of Ann�zationt <br />Docu�ant <br />(cop� to e�at-taehed) <br />�tt,.�. <br />Ranant� Daad <br />Quitcla!■ D��d <br />D�ed oL 'hu�t <br />Real 6�uea Contrace <br />Othes <br />Da_te <br />� <br />� <br />Auditor'• Pila No. <br />9�6s�2 <br />I h�r�b� c�rtif� thai th� �bon fnlor�atioa i• erw aad <br />knorl�ds�. <br />�� <br />% �3 �'L <br />to th� be�t of q <br />ih� Lollorint 1• to b� d�t�s�in�d b� Pl�nalnt p�p�reNats <br />Th� lot do��/� ���� yp�� ���subdi�i�ion r alrrent� !n eff�ct at ths <br />tiM th� abow tr�aw-t�•+e•!s? �. �.�-_• � <br />_._.... �i,.oys�b in eha Camt� Audltor'• Of!lee. <br />I her�b� find ehat th� �bo�e parcal l��� a le�al lo! fos buildi <br />und�r eh� Cie� Zonint aud gubdi�l�lon Coda�. 1hi� c�rtilication !� 6 ab�act��to <br />r��ocation !! !t i� found thae tha inloe�atioa upon �hich !t !• b�wd !• ertoneou�, <br />cct <br />11S1d <br />Authorlsed Slioature <br />Data <br />Bulldins Depart�ent - for addre�� fi <br />O�mer/Purcha�ar <br />