HomeMy WebLinkAboutNOA_Affidavit_of_Sign_Installation_180423_v2DEPARTMENT OF COMMUNITY {-n11 or 0..1
AND ECONOMIC DEVELOPMENT �en on
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwagov
STATE OF WASHINGTON
7 SS
COUNTY OF KING j
1. I, 14 %K-, 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 _L7 day of A net r 20 1 installed
public information sign(s) on the property located at -19016 116 fA A✓e,
for the following project:
A -!v Cr S DtZT LAI
Project Name
CANA- f9vooe.,n 1NC.
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 requirements of Chapter 8 Title 4 of Renton Municipal Code and
the City's "Public Information Signs Installation" handout package.
Installer Signature
SUBSCRIBED AND SWORN to before me this day of 14VY if 1 , 20 V�
,JENNIFER RAE SMITH NOTARY PUBLIC in nd for the State of Washington,
STATE OF WAJ IaL, �i hih)
SHINGTON
NOTARY PUBLIC residing at
MY COMMISSION EXPIRES My commission expires on I)2 - 03 1�
07-03-18
7
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017
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