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b x R <br />C y y <br />� � n <br />ozo <br />� N I�-i <br />t0�� <br />O N p <br />� � n <br />� y � <br />ti y <br />N <br />M <br />O N <br />� �y tE <br />O y <br />N <br />� �i <br />� �� <br />Rroll Page .; / <br />CITY OP EVIItE1T <br />CEHTIPICATION OP LOT STATOS / ,,n�,� - �� :? <br />Rfc't:i{�T' �1 7.J�7 :� D� �i`�> -9? <br />A lot sihSch qual7flea ae a eubetandatd lot, as provided by Suhsection 38.OBO.A.1 of <br />the Everetc Zonlog Code, muet be certified ae a nooconforming lot prior to che <br />fseuance of a bullding permit. In order ta be certified ae a legal lot for huilding <br />purposea, the applican[ ahall provide eufflcient Snformatlon [o verify that the lnt <br />wan legally crented and [hat all appllcable C1ty Zonfng Code requiremente in effect <br />nt the t7me [he lot xae created xere met, ar that the lot wae created prfor to <br />anoexatlo¢ to [he Clty and met the minimum 2uning Code req�irementa of Snohomieh <br />Cou¢ty at the tlme the lot wae establiehed. <br />TO BE PILLED OUT BY APPLICANT: <br />Qwner: ��o-ir�u lR�n�ii1 i� ��n�a If �rcr zo �, Phone: .�Sa-/•7�P0 <br />S, <br />Addreea: �g��,�ne1 {�� �„ <br />���r�Jp i�{-, f e �'!� <br />Addrese of lot being certlfied: Siam r <br />Asaeaeor'e Accoun[ No. <br />L,.gal Deecrfptfon: <br />s:,,,fhti i'v Aa�\ ��� <br />_c��o1Rv5-l-oi� -o�os <br />Date of Aane:ation: �- Gj "� Z <br />i.o�ument <br />(copy to be attached) <br />Nor[gage ' <br />Narranty Deed � <br />Quitclaim Deed <br />Deed of Truet <br />Real Eetate Contract <br />O[her <br />Dare <br />Auditor'e File <br />,���6 c�' /��. U.� la- <br />I UD i0� <br />F T- <br />st� <br />I herebq cert9fy that the above fnformation !e true and correct to the 6eet of my <br />knowledge. <br />�' � <br />� Appllcant <br />� <br />The folloxing 1e to be determined by Planning Deparement: <br />The lot does/.�sv:�a:t meet Zoninq Code/Subdivfelon requlremecte in effect at :he <br />tlme the above treneactian(e) �av,a(were) recorded 1n t6e County Auditor's OfElce. <br />I hereby iind that tha abave parcel !e/fc.� a legel lot for buildfng purposea <br />under the City Zoning and Subdfviefon Codes. Thle certlflcation ie subject to <br />revocatiou !f it ia found [hat the information upou wfilch it ie based is erroneoue. <br />cc: <br />1151d <br />Authorized S7gnnture ��� `.'�.,.� y, <br />Date c/ - •�� c��� <br />Building Depertment - for addreae file <br />Qwner/Purchaser <br />