HomeMy WebLinkAboutNOA_Sign Affadiavit_191116_v1.pdfDEPARTMENT OF COMMUNITYcirY of
AND ECONOMIC DEVELOPMENT----�--"""""���iRenton
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
STATE OF WASHINGTON
SS
COUNTY OF4of
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1. I,z- C?dz 1 certify under penalty of perjury under
the ltate 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 9 _r nkC AV
for the following project: � ���� `w'A
Project Name
Owner Name
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 Ins allation" handout package.
Installer Signature
SUBSCRIBED AND SWORN to before me this ay 20
NOT P C in and for the Stateof Washington,
NOTARyN�; G residing at
N
�oPUBLICO�; o My commission expires on �� 1�.b�
` .?�M. #202.
OF WASN� .+`'�
C:\Users\cctose\Desktop\Work\Handouts\Pub Info Sign Handout.docx
Rev. 02/2017