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AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning oivision
toss south Grady way, Renton, wA 9sos7
Phone: 425 430-72001 WW hLr.!QtorwJ,XOy
STATF OF WASHINGTON )
SS
COUNTY OF KING )
cl,.� certify under penalty of perjury under the lawn of the
State of Washington that the foregoi is true and correct, being first duty sworn or, oath, deposes and
says:
2. On theZ day of �� ` , J 20 l installed C�
Public information sign(s) on the property locatedat�j�, for the
following project:
Project Name
JQ-kA56e,it ft1-5�a`t,,ai
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 g Title 4 of Renton Municipal Code and the City's "Public information
Signs Installation" handout package. A ) I
t Instatesignature
SUBSCRIBED ANDAW9,RN to before me this ay of _ 20Z:5E7
�O�M : ;��� NOTARY PUBLIC it and f the State of Washington,
Z 4 �=
cn; pO�ARy�; Z_ residing at
��FQ03ryry�� My commission expires on
7, WASH
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