HomeMy WebLinkAboutNOA_Affidavit_of_Sign_Installation_190221_v1.pdfDEPARTMENT OF COMMUNITY WWWO CITY OF
AND ECONOMIC DEVELOPMENT —""
__.w0. Renton Ow""'
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION 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 )
1. I, Jaswant S Dhaliwal , 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 25 day of September —,20 18 1 installed
public information sign(s) on the property located at 19805 108th AVE SE Renton WA 98055
for the following project:
Madueno
Project Name
Jaswant S Dhaliwal
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 Installa ion" handout package.
i
Installer signature
SUBSCRIBED AND SWORN to before me this day of 6� 20�.
NOTARI PUBLICnand for the State of Washington,
residing at %� L� 1� > U S , v��ov►
My commission expires on
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017