HomeMy WebLinkAboutL_Affadavit of Public Information Sign Installation_180525_v1.pdfDEPARTM ENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT -------Renton 0
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
STATE OF WASHINGTON
COUNTY OF KING
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 I www.rentonwa.goy
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1. I, t--..\AM , 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:
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2. On the~&--day of __ _.&'-'-'-'b""". ____ __,, 20 If , I installed -""9<~-
public information sign(s) on the property located at 11.f-l () (f Jttr!,vt~ f2d {2yjr.,1 u.;-l 1J'oST
for the following project:
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Project Name
rill :uur
Owner Name
3. I have attached a copy of the neighbor hood 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 SQ61-""'"''••,
the City's "Publ ic Information Signs Installation" handout package. s--::._,c."t!~, 1: ~,,,,,
SUBSCRIBED AND SWORN to before me this .D.S!L da of [aavAlt:1
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~l\'--~l~ :f f.J ~or~~\\~ 'Cl>f , ""~I~· Inst II Signature ~ ~ • ·' :1 ~ A\ O'a (,.l\C, ; !
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UC in and for the State of Washington,
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My commission expires on <8 6qz: 2oz,1
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H:\CEO\Oat•\Forms-Templates\Sell-Help Handouts\Plannmg\Pub Info Si gn H•ndout dou Rev OS/2016
RECEIVED
06/25/2018
amorganroth
PLANNING DIVISION
06/01/2018