HomeMy WebLinkAboutNOA_Affidavit_Sign_180712_v1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT ifento6in
AFFIDAVIT F INSTALLATION F
PUBLIC INFORMATION SIGN
Planning Divimon
1055 South Grady Way, Renton, VVA 96057
Movie: 425-43G-72100 154_}'J __ _:''.S
STATE OF WASHINGTON ]
SS
COUNTY OF KING
1. I, ) . CertlfV U.nd(!r penalty of perjury under
the laws of the State of W@Shington that the foregoing is true and correct, being first
duly sworn on oath, deposes and says.
2. On the ZnL day of �.t'� �. 20_Lf2__, I Installed
public information signl�sj on the property located at fA�L�
for the following project=
Solem
Pfoj&ct Name
(;quadrant Homes
OWFIL-r Name
3. 1 have attached a copy of th-e neighborhood detail map marked with an "}C" to indicate
the location of the installed sign.
4. This/these pubik information signi[s} was/were constructed and installed in locations in
conformance with the requiremenif, of Chapter 8 Ttl 4 of k ton Municipal Code and
the Cit%(s "Public Information Signs I " ha ut p ge-
nstaller �Ignature
SLIBSCRIew to before me this ay of
;
0T:4� NOTA$Y R $LIC !q an forthe a of Washington,
F3L residing at
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My COnlrriiSSlbli expires on
C.IUse*sl�clo9rlAssktaP V�arkl�landautslPublrrfo 54dn HaMo-A.doo; Rev. UVW17
DEPARTMENT OF COMMUNITYCITY OF
AND ECONOMIC DEVELOPMENT
Renton
AFFIDAVIT OF INSTALLATION OF
PUBLIC OUTREACH SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 J;;.c,r'" �,,� `i
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
06E7i T P,4a�1 _ , being first duly
sworn on oath, deposes and says:
1. On the '�0 t-4day of 20 1 installed public
outreach sign(s) on the property located at
for the following project:
Sclera
Project Name
Quadrant Homes
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.
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 Information Signs all n" ha out package.
Installer Signature
SUBSCRIBED A WORN to before me this �Ida y of _ M,4rCll , 20 %c .
NO,.T Y PUBLIC 'n and for the St to of Washington,
:U a+�TA1� rending at L.L>-! Gtl/�f �l
' .,oS-2,.• My commission expires on 001 S w /
OF W-*
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Rub Outreach Sign Handout.dou Rev. 02/2015
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