HomeMy WebLinkAboutNOA__Ravi Short Plat_Affidavit_220816_v1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
Sb55 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
1. I, L1=k V wrtA KAn�nn rFIF l (cq _, 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 _ day of A PAIL , 20'ZZ , 1 installed
public information signs) on the property located at � 301,- s E � kA Pj- s'onJ wk
for the following project:
PEA I
Project Name
ShR/1 VCN�Tv� �S 1w
Owner Name
3. I have attached a copy of the neighborhood detamap marked with an Xto
the location of the installed sign.
il "" indicate
4. This/these public information signs) 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.
SUBSCRIBED AND SWORN to before me th
Installer Signature
1�_ day of
NOTARY PU
residing at _
3LIC in and for the State of Washington,
My commission expires on
a
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Public Information Slgn Handout,docx
Rev.02/2017