HomeMy WebLinkAboutNOA_Sign_Installation_Affadavit_220209_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
10S5 South Grady Way, , Renton, WA 98057
Phone: 4 -430-7 01 www.rentonwa
STATE OF WASHINGTON )
SS
COUNTY OF KING
1• �+ � certify under penalty of perjury under
the laws of the State of Washington that the foregoing is true and correct, being first
truly sworn on oath, deposes and says:
2. On the 09 day of � � � ��,�y ,, 24 Z2 I installed S"\Gt4-J
public information sign(s) on the property located at �Qe D
for the following project:
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Project Name
CCAL,J A \D
0 Ues"a
Owner Name
3. ! have attached a copy of the neighborhood detail map marked with an "7i" 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 $ Tine 4 of Renton Municipal Code and
the Citys "Public Information Signs Installation" handout package.
Installer~ Signature
SUBSCRIBED AND SWORN to before me this E` day of
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H.\CED\DatajForrns-Tempfates\5elf-Help HandoutsjPlanning\Public Information Sign Handout.dQcx
Rev. 02/2017