HomeMy WebLinkAboutNOA_Affidavit_of_Installation_of_Public_Outreach_Sign_20170327_v1DEPARTMENT OF COMMUNITYRentonCITY of
AND ECONOMIC DEVELOPMENT V
AFFIDAVIT OF INSTALLATION OF
PUBLIC OUTREACH SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
�or yr, being first duly
sworn on oath, deposes and says:
1. On the day of ('-1 20-11-1? 1 installed I public
outreach sign(s) on the property located at
—507-q 5 . Is -- for the following project:
E o -r \ Ih c�, �- n —\ ^ 1Ao.r, e.s
Project Name
Lt, c— (o-ner)
Owner Name Lx c.
\, .+)
2. 1 have attached a copy of the neighborhood detail map marked with an "X o �indicate
the location of the installed sign. (Sem Qc*Jv—k— P14 -V
3. This/these public information sign(s) was/were constructed and installed in locations in
conformance with the requirements of Chapter 7 Title 4 of Renton Municipal Code and
the City's "Public Information Signs Installation" ha out package.
Installer Signature
SUBSCRIBED AND SWORN to before me this o27*f'%-day of Aa&,k , 20—.
t�
ENotary Public NOTARY PUBLIC in and for the St t of Washington,
State of Washington
CHELLE K BRANLEY residing at
COMMISSION EXPIRES
February 10, 2019
My commission expires on re,6rt a ID o20►
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Pub Outreach Sign Handout.docx Rev. 02/2016
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