HomeMy WebLinkAboutNOA_Affidavit_Sign_Installation_YYMMDD_v1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
7
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 | www.rentonwa.gov
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
1. I, ____________________________________, 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 ________ day of _________________________, 20_______, I installed ________
public information sign(s) on the property located at _____________________________
for the following project:
Project Name
Owner Name
3. I 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 _______________, 20_____.
NOTARY PUBLIC in and for the State of Washington,
residing at .
My commission expires on
RECEIVED
11/04/2019
amorganroth
PLANNING DIVISION