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HomeMy WebLinkAboutL_Affidavit_of_Mailing_Applicant_171103Onthe3rddayofOctober,2017IdepositedinthemailsoftheUnitedStates,asealedenvelopecontainingERCReportandSEPAdeterminationdocuments.Thisinformationwassentto:NameRepresentingMaryioLuxContact(SignatureofSender):—STATEOFWASHINGTON55SZEQ0-.-‘&S/i),,,e0pWP¼S?Notary(Print):llll.,:.%ProjectNameFireStation15ProjectNumber:LUA17-000632CITYOFRENTONDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENT-PLANNINGDIVISIONAFFIDAVITOFSERVICEBYMAILINGCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatKatieBuchl-Moralessignedthisinstrumentandacknowledgedittobehis/her/theirfreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.Dated:/,‘NotaPublicinandforheStateofWashingtonPJlvi/iZoC4-/3//cMyappointmentexpires:‘9//template-affidavitofservicebymailing