HomeMy WebLinkAboutNOA_Affidavit_Public_Outreach_Sign_180103_v1.pdfDEPARTMENT OF COMMUNITY CITY OF
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AND ECONOMIC DEVELOPMENT Renton ''�
AFFIDAVIT OF INSTALLATION OF
PUBLIC OUTREACH 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 )
Frank Durocher being first duly
sworn on oath, deposes and says:
1. On the 2 day of January 20 18 1 installed 1 public
outreach sign(s) on the property located at
4500 Talbot Rd S for the following project:
Weatherly Inn - Renton
Project Name
Alex Bunn
Owner Name
2. 1 have attached a copy of the neighborhood detail map marked with an "X" to indicate
the location of the installed sign.
3. This/these public information sign(s) was/were constructed and installed in locations in
conformance with the requirements of Chapter 7 Title 4 of Renton Municipal Code and
the City's "Public Informs 7f
ns Installation" handout package.
Installer Signature
SUBSCRIBED AND SWORN to before me this 3 day of _ 20/'Z-.
lM1
/
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VICKIY NOTARY PUBLIC in and fo he State of Washington,
iC residin at/1Tngton g �uExpiresQ19 My commission expires on tl ev J-6
3
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Pub Outreach Sign Handout.docx Rev. 02/2016