HomeMy WebLinkAboutL_Signed_Affidavit_of_Installation_of_Public_Information_Sign_190612_v1DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT � �®� 1
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.sov
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
1. I, l g�Nc- S. 14AA1S,eA , 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 31V- day of MAY .20 . I installed
public information sign(s) on the property located at 5507 AIF /S,! 10/0 )&*4 WA W
y
for the following project:
14AWS96 60VW,-e-b PATIO Vff/L14WC6
Project Name
TP�r� S. � JZuP�+�AE� X • �IANS,�q
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.
cIr Installer Signature
SUBSCRIBED AND SWORN to before me this day of 20J4.
�• 1 F
�J= >>8053 ''�, i ��� NOTARY PUBLIC in and or t e State of Washington,
OV NOTARY residing at
01
i S 0..800 $
i �,�o PUg�I �'� 00
2 % My commission expires on 0 l 1
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I It OF WAO 1-- 7
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Pub Info Sign Handout.docx Rev. 08/2016
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