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1 <br />Kroll Page X <br />CITY OF EVERETT <br />CERTIFICATION OF LOT ST TUS <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 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 - tablished. <br />TO BE FILLED OUT BY APPLICANT: <br />Owner: ,4j1ell, J & 1 " <CW Phone: - �9-7'? j <br />Address: <br />Address of lot being certified:( <br />Assessor's Account No. <br />Legal Description: S �14 o/r L07- 4-- 'd- /U �Z OF l.OT S BGCC♦ �'2 <br />GAT 0,c- syer: D/1/. <br />Date of Annexation: A/ <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 Contract <br />Other <br />I hereby certify that the -bove information is true and ce..ect to the best of my <br />knowledge. <br />App4l cant <br />The following is to be determined by Planning Department: <br />The lot does/dww� meet Zoning Code/Subdivision requirements in effect at the <br />time the above transaction4M was(oorgo recorded in the County Auditor's Office. <br />I hereby find that the above parcel is/Jl� 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 />cc: <br />1151d <br />%uthorIzed Signature <br />Date <br />Building Department - for address file <br />Owner/Purchaser <br />' 7 . t;, C. '7 <br />