HomeMy WebLinkAboutNOA_Affidavit_of_Public_Information_Sign_Installation_20170419_v1DEPARTMENT OF COMMUNITY w CITY OF
AND ECONOMIC DEVELOPMENT Rel lton
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.ao�
STATE OF WASHINGTON ]
) SS
COUNTY OF KING )
Prva P, Wg rn 61 --
being first duly
sworn on oath, deposes and says:
1. On the 5�� day of 0ck)bec/ 20 1 installed 1-- public
information signs) on the property located at
P1 for the following project:
Project Name
Owner Name
2. 1 have attached a copy of the neighborhood detail map marked with an "X" to indicate
the location of the installed sign.
3. 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 Instillation" handout package.
Installer Signature
t
SUBSCRIBED AND SWORN to before me this day of 20 1 �'
My Cgrrrmission Expires
February 1, 2017
NOTARY PUBLIC in and for the Sta of Washington,
residing at 4A117",
My commission expires on 5,Q-/- Z
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Pub Info Sign Handout.docx Rev. 04/2016
LEGEND—
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SUBJECT PARCEL •' � I
PARCEL! RO.W. LINE •` ! �� rf L.
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NEIGHBDRHC3QD VICI}VITY MAP
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CITIZENDESIGN
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NEIGHBORHOOD
DETAIL MAP
SCALE: AS NOTED
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