HomeMy WebLinkAboutL_Public Notice Sign Affadavit_240208_v1.pdfCITY OF RENTON I PERMIT CENTER
�- AFFIDAVIT OF INSTALLATION OF PUBLIC
• OUTREACH SIGN
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I, _�� S - C I%—L--- , 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:
On the 0 S- day of 3L\N 20 2=kA, I installed public outreach sign(s) on the property
located at VI 2'� W tNi�Sc� � �TE Kr-VTyhfor the following project: t L,, A-Otg-r-) 5 C)
Project Name
Owner Name
I have attached a copy of the neighborhood detail map marked with an "X" to indicate the location of the installed
sign.
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 Outreach Sign(s)" handout
package.
In -baler Signature
pinnnrr/r,,� �
SUBSCRIBED AND SWORI�6tO`11C is. day of -)C 20
C CA
`{_ °• A(je~ NQFAF*Y PUBLIC in and for the State of Washington,
</C , sidtAg at
��/IlIIIII IIII�N
My commission expires on
rentonwa.sov/permitcenter I planningcustomerservice@rentonwa.gov 1425-430-7294 11/17/2022 Page 6 of 6