HomeMy WebLinkAboutNOA_Public_Sign_Affidavit_181121_v1DEPARTMENT OF COMMUNITY O' °r
AND ECONOMIC DEVELOPMENT Renton'
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIG N
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone; 425-430-7200 j www.rentonwa.gov
STATE OF WASHINGTON
) SS
COUNTY OF KING )
1. I, Del'A) %.'k (A , 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 20 day of No i , 20 13 , 1 installed
public information sign(s) on the property located at 1 Z N 3 Si ku*o"NA
for the following project:
Project me
UNnn S'n
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.
Installer Signature
SUBSCRIBED AND SWORN to before me this 20 dz
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��JPsionr''Zs �i
NOTARY PUBLI
residing at
NOTARY Ni
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20 +�3
and for the State of Washington,
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tn'; PUBLIC 2 My commission expires on
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C:\Users\cclose�' lclo;A \Handouts\Pub Info Sign Handout.docx
Rev.02/2017