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xx3aH <br />[ht4M <br />JD C�H <br />�Htn <br />�qW <br />0 H 0 <br />N H <br />xz <br />OHd <br />was <br />H w <br />ZHZ <br />z <br />HH <br />8 H <br />0drA <br />M <br />z9fn <br />HOcn <br />law <br />'aft,MW <br />Rroli Page <br />CITY OF EVERETT <br />CERTIFICATION OF LOT STATUS <br />DATE <br />A lot which qualifies as a substandard lot, as provided by Subsection 38.O8O.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 FILLED OUT BY APPLICANNT: <br />Owner: ci�_Q�`Q�„ � Phone: <br />Address:� —l�/g`7'y� 3 3'1— <br />Address of lot being certified: - -3n <br />v <br />Assessor's Account No. Sl / 9 /JlJ/ o ii •� ,,• / n <br />Legal Description: <br />in aJ� <br />Date of Annexation: <br />Document Date <br />(copy to —cached) <br />Mortgage <br />Warranty Deed <br />Quitclaim Deed <br />Deed of Trust <br />Real Estate Contract <br />other <br />Auditor's File No. <br />I hereby certify that the above Information is true and correct to the beat of my <br />knowledge. <br />Applicant <br />The following In to be determined by Planning Department: <br />The lot does/JM@NMfflW meet Zoning Code/Subdivision requirements in effect at the <br />time the above transaction(,) ke(were) recorded in the County Auditor's Office. <br />I hereby find that the above parcel ie/i 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 w$Sch It Is based Is errone0us. <br />cc: <br />1151d <br />Authorized Signature <br />Date � , 4Z <br />Building Department - for address file <br />Owner/Purchaser <br />,1 i <br />UUCI!Ii1993 <br />CITY OF EVFRLTT <br />phnninp, Dept <br />