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M <br />Kroll Page <br />CITY OF EVERMT <br />ON OF LOT STATUS / %3 <br />DATE 7-gi-9-; <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 established. <br />TO BE PILLED OUT BY APPLICANT: <br />Owner: 1 }a13L.4n '%i • Phone: <br />Address: (off 1 3 <br />CVCL�P. <br />Address of lot being certified: <br />Assessor's Account No. h 6 /;- - c, / t - p6, i _ ,, o / <br />Legal Description: ;<6 i1 7mr-,/-oE-. - /� ,�, ft iS c F. 776 °`f 4� <br />Date of Annexation: <br />Document Date <br />(copy to a -attached) <br />Mortgage <br />Auditor's File No. <br />Warranty Deed z a Y ti / 7 (, o Y l <br />Quitclaim Deed <br />Deed of Trust _ <br />Real Estate Contract <br />Other . ,a 77,; ,f. .., r> -7- 18 y6 c, c C y .. <br />3,, / <br />I hereby certify that the above information is true and correct to the best of my <br />knowledge. <br />i Applicant <br />The following is to be determined by Planning Department: <br />The lttt does/Aass-ees meet Zoning Code/Subdivision requirements in effect at the <br />time the above transaction(s) ama(were) recorded in the County Auditor's Office. <br />I hereby find that the above parcel is/ir•mmet 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 ti <br />Date <br />cc: Building Department - for address file <br />Owner/Purchaser <br />1151d <br />