HomeMy WebLinkAboutNOA_Affidavit_of_Sign_Installation_20170421_v1DEPARTMENT OF COMMUN9 t %f CITY QF
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 ww rentonwa.gov
STATE OF WASHINGTON
SS
COUNTY OF KING
r
1. I, L - certify under penalty of perjury under
the laws of the Stat of Washingto=n that the foregoing is true and correct, being first
duly sworn on oath, deposes and says:
2. On the 7 day off '� ?�_ 201 / , 1 installed
public infor=mation sign(s) on the property located at �� 5-,)JYH
for the following project:
Project Name
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 installed in locations in
conformance with the r equirements of Chapter 8 Title 4 of Renton Municipal Code and
the Citv's "Public Information Signs I !ion" handout ckage.
Installer Signature
SUBSCRIBED AND SWORN to before me this eday of rt 20
NOTARY PUBI-F� iaand for the State of Washington,
res;dirg at
_ My commission expires on
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017
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