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DEPARTMENT OF COMMUNITY pW tCITY of
AND ECONOMIC DEVELOPMENT Ren on
:::FFIDAVIT OF INSTALLATION OF
r,�UBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
1. I, 4,z -m i fvv =0 certify under penalty of perjury under
the laws of the State of Washington that the foregoing is true and correct, being first
duly sworn on oath, deposes and says:
2. On the iZ1't^T day of -J-P-WyA-fl-Y . 20 1? , I installed i
public information sign(s) on the property located at _itof
for the following project:
1+ s9 ii -Lf*+--0 V 6- S t�-�-. spm bi li OW PAP
Project Name
iC Wr S btrrttfpOCT ,Lt -C "fDVV 2)
Owner Name
3. 1 have attached a copy of the neighborhood detail map marked with an "X" to indicate
the location of the installed sign.
4. This/these public information sign(s) was/were constructed and installed in locations in
conformance with the requirements of Chapter 8 Title 4 of Renton Municipal Code and
the City's "Public Information Si ns Installation" handout package.
Installer Signature
SUBSCRIBED A*131OIAV108M to before me this � clay of t'4W01'q,20 le.
NOTgR�.'�' _ NOTARY PUBLIC in; antate c�f�IVashington,
�*•-= H = residing at
PUS UC,
lv� •, �2 �., ,. ,�Oz�� My commission expires on Z
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017