HomeMy WebLinkAboutpublic information site plan signedAFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
City of Renton Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 Fax: 425-430-7231
STATE OF WASHINGTON
COUNTY OF KING
l�Ca?3eYT 6-J, N t ?(— being first
duly sworn on oath, deposes and says:
1. On the ,2r day of i4PSIL- , 200_, _, 1 installed t public
information sign(s) and plastic flyer box on the property located at
ZOO SCu-t / for the following project:
I'Vl t12U ru G � 0 2t� c, f�-T
Project Name
1v162"N 0 L -Am i'-) PgU etre m FST Cb 1.,jC ,
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 7 Title 4 of Renton Municipal Code
and the City's "Public Information Signs Installation" handout package.
T Installer Signature
SUBSCRIBED AND SWORN to before me this -A S+hday of /-1 eLl ) , 201 -LL
-. Ve 1'.b 12 Qc� d"&4
J. J. VERBLE
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
SEPTEMBER 29, 2016
NOTARY PUBLIC in and for thUtW of Washington,
residing at Vhdd. i,8U+ 0 Q
My commission expires on Z C/ C 4 _
-3-
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SCALE: 1" = 200'
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14711 NE79M Place SuBe 101
NEIGHBORHOOD MAF CaE Bellevue, Wa�hfZ 4 98007
475.085.7877 Fax 475.885.7963
N DESIGN
ENGINEERING • PLANNING • SURVEYING
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SCALE: 1" = 200'
0 80 100 200
14711 NE79M Place SuBe 101
NEIGHBORHOOD MAF CaE Bellevue, Wa�hfZ 4 98007
475.085.7877 Fax 475.885.7963
N DESIGN
ENGINEERING • PLANNING • SURVEYING