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DEPARTMENT OF COMMUNITY CITY aF
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AND ECONOMIC DEVELOPMENT
Renton
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.eov
STATE OF WASHINGTON }
) Ss
COUNTY OF KING }
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 Z y day of rn d6.V , 24 1 8 , I installed41
i
public information sign(s) on the property located at 417--'00 $lack 0& 7-g, ,c W A
for the following project: f3 LV p
Project Name
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 Signs Installation" handout package.
(� I stallerSiiggnnature
SUBSCRIBED AND SWORN to before me this f ay of r t� —?20
•` A GRA lig r
k`, NOTARY PUBLIC,' and for the State of Washington,
residing at _ , �� 14op
. ,.
My commission expires onJr 7
C:\Users\cclose\beSk1q ndouts\Pub Info Sign Handout.docx Rev. 02/2017