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��x <br />Q H <br />�HxW <br />HxH <br />r� c] <br />H xf <br />� N � <br />V1 N <br />�O� <br />O ryi <br />H�g <br />�Y �] <br />N <br />tiy <br />�HH <br />g �' <br />c]C� <br />�y�l'� <br />HOp� <br />� <br />�� <br />Kroll Page <br />CITY OF dVERETT <br />CERTIFICATION OF L T TATUS 0[��9 <br />DATE. / 8 <br />To certify lots that oo not meet current zoning code requirements. Such lots will <br />not be considered legal lots Cor building purposes unless documentation as listed <br />beloW is prcvided as to the date the lot uas created and that all City code <br />requirements in eFfect at that time Were met, or that the parcel was in existwere <br />prior to annexation to the City and met County requireoents at the time they <br />createi. <br />TO BE FILLED OUT BY APPLICANT: <br />I�/�' !1 — �' , <br />0•.mer: � \ k`�ilG (•� ��-�S�`��� Phone: <br />Addressc�U/ � � � 1) f� lJr <br />Addresa of lot being certified: �( � C n ��� � F ��� <br />Assessor's Account No. �c�i 2. 'C�iO� -O�'� -�G� — <br />Legal Description: �� i�-n0� 1/-�7 / ��� "'�T / - <br />Date of Anne�cation: <br />Document <br />(copy to be attached) <br />Mortgage <br />Warranty Deed <br />puitclaim Deed <br />Deed of Trust <br />Real Estate Contract <br />Other <br />Date <br />puditor's File No. <br />yy h0 r`�/ <br />-ir i '7n / l 5 9 <br />I hereby certify that the above information is true and correct to the best of my <br />�cnowledge. <br />� ��-Q�'� <br />ppplicant <br />The follouing is to be determined by °lanning Department: <br />on <br />The lot does� �eet Zoning Code/Subdivision requirements in effect at t e <br />time Che above transaction(s) was(were) recorded in the County Auditor's Office. <br />I hereby find that �he above parcel is a legal lot for building purposes under the <br />City Zoning and Subdivision Codes. This certification is subject to revocati.on i` <br />it is found that the infoncation upon Which it is based Ss erronPous. <br />puthorized Sig�ature �'�"�"I.���' � <br />Date �� <br />cc: Building Department - for eiddress file <br />Ormer/Purchaser � <br />� <br />0139F Authorized Signature �-' � '9 j <br />Date <br />