HomeMy WebLinkAboutNOA_Affidavit_of_Sign_Installation_181119_v1.pdfDEPARTMENT -OF COMMUNITY
CITY OF
AND ECONOMIC DEVELOPMENT
Rentonu--Pm'
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIG N
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.aov
STATE OF WASHINGTON )
) SS
COUNTY OF KING }
1. I, CAME RQ+J lcov _ , certify under pena'ty 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 2-`1 F H day of o CTO
20 'S , I installed oNF-C`)
public information sign(s) on the property located at 15TS r -1E 35-n4 S-r9jEP_T
for the following project:
3�TN ST CZeET SHo iZ-T P[.AT
Project Name
KP 1F VZU0?M E NT (ROUP
Owner Name
3. 1 have attached a copy of the neighborhood detail map marked with an "X" to indica e
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.
Installer Signature
SUBSCRIBED AND SWORN to before me this J day o ml&
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YaRk �P r residing at Ye
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of Washington,
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C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx
Rev.02/2017