HomeMy WebLinkAboutNOA_Sign_Installation_Affadavit_191213_v1DEPARTMENT OF COMMUNITYCITY ofAgo""'
AND ECONOMIC DEVELOPMENT Renton
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 0 IG )
1. I, S certify under penalty of perjury under
the laws of K State of Washing on that the foregoing is true and correct, being first
duly sworn on oath, deposes and says:
2. On the /34day of ��� e wtb e� , 20 / � , I installed Un 2
(,cictsin�'�h �� v�•
public information signLia � D LafL� N
s) on the property located at 9
for the following project:
'9roJ��
1L Project Name
Fla hrokl — LAn-4-- i a r".,l Ver��urc.
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 • stalled in locations in
conformance with the requirements of Ch ter Title 4 of Re on Municipal Code and
the City's "Public Information Signs Inst lationrhandoyt pa age.
Installer Signature
SUBSCRIBED AND SWORN to before me 1 .L day of �c,t4,'i 6 , 20��.
NOTARY PUBLIC in
in and for the State of Washington,
RACHEL L GEHRLEIN residing at t�G�n� .
Notary Public
State of washington
My Appointment Expires Jun 11 2020 My commission expires on
RP
7
C:\Users\cclose\Desktop\Worl<\Handouts\Pub Info Sign Handout.docx Rev. 02/2017