Planning Comments 2.pdf
Up: Snohomish County Assessor
3000 Rockefeller Ave
3rd Floor, Admin East MS 510
Everett, WA 98201
Attn: Segregation Division
Phone #425-388-3525
Please print:
From:___________________________
___________________________
___________________________
Daytime phone #_____________________
Contact Person_______________________
___
Tax Account(s) #________________________
_________________________
*FOR AREAS IN BOLD TYPE & UNDERLINED, PLEASE CIRCLE ONE ONLY
Is there a lending institute with an interest in this property? Yes/No
*If yes, you will need to provide evidence of their approval of this request.
I am the owner/other (if other please explain)___________________________
of the above mentioned tax parcels and I am requesting a segregation/combination/correction of
the legal description of the above tax parcel(s), per the attached Survey/Short Plat/Boundary Line
Adjustment/Deed/*Other.
There are buildings/no buildings located on this property. If there are buildings, please show
where they are located by attaching a map or sketch.
*Please provide copies of the documentation supporting your request if the document is
un-recorded ie, lot status, un-recorded short plat, judgment, etc.
Additional information that may be helpful in complying with your request:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Date_______________Signature_____________________________Request taken by______________
Please note: property taxes must be paid in full for the year in which the property is being
segregated per RCW 84.56.340
eturned to requestor for
completion
ttt
mm
x
ww
n
ss
z
zz
mmmm
j
DjD
sfnpwfe
cf
up
Mjof