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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