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HomeMy WebLinkAboutNOA_Notice Sign Affadavit_SunsetWCF_200102_v1.pdfCITYOFDEPARTMENTOFCOMMUMTY-‘Renton0AFFIDAVITOFINSTALLATIONOFPUBLICINFORMATIONSIGNPlanningDivisionlOSSSouthGradyWay,Renton,WA98057Phone:425-430-7200Iwww.rentonwa.govSTATEOFWASHINGTONSSCOUNTYOFKING1.i,I,certifyunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthattheforegoingistrueandcorrect,beingfirstdulyswornonoath,deposesandsays:2.Onthe%-I11JdayofJiiR-1,202-__,linstalled______publicinformationsign(s)onthepropertylocatedat‘Zc’0Srforthefollowingproject:t_-’-Thit)v.1k‘)‘Wosj,ProjectNameQtOwnerName3.Ihaveattachedacopyoftheneighborhooddetailmapmarkedwithan“X”toindicatethelocationoftheinstalledsign.4.This/thesepublicinformationsign(s)was/wereconstructedandinstalledinlocationsinconformancewiththerequirementsofChapter8Title4ofRentonMunicipalCodeandtheCity’s“PublicInformationSignsIstallatin”handoutpackage.InstallerSignatureSUBSCRIBEDANDSWORNtobeforemethis2dayofttYL1,20Z(3StateofWashingtonNOTARYPUtICinandfortheStateofWashington,MARYWHITESIDEresidingatDO1MlVJ’COMMISSION#210423IMYCOMMISSIONEXPIRES.Spernber28,2023Mycommissionexpiresone*Z,WZ-37C:\Users\cclose\Desktop\Work\Handouts\PubInfoSignHandoutdocxRev.02/2017RECEIVED01/08/2020amorganrothPLANNING DIVISION ApplicantAgreementStatement:CrownCastle816309SunsetTowhomitmayconcern:a.Theapplicantagreestoallowforthepotentialcollocationofadditionalwirelesscommunicationfacilityequipmentbyotherprovidersontheapplicant’sstructureorwithinthesamesitelocation;andb.Thattheapplicantagreestoremovethefacilitywithinsix(6)monthsafterthatsite’suseisdiscontinuedorifthefacilityfallsintodisrepairandrestorethesitetoitspre-existingcondition.Iftherearetwo(2)ormoreusersofasinglewirelesscommunicationfacility(WCF),thenthisprovisionshallnotbecomeeffectiveuntilallusersceaseusingtheWCF.By:Date:StateofWashingtonCountyofcnivuciiIcertifythatIknoworhavesatisfactoryevidencethatviij,’t1pk1uo(i’vwn(tdHIsthepersonwhoappearedbeforeme,andsaidpersonacknowledgedthathesignedthisinstrumentandacknowledgedittobehisfreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.Dated:/2-pLOf’oturyi’ublicIiIiStateofWashington,Jt4/f44%/7(A(1t!MARYWHITESIDENOTARYPyBLIC,COMMISSION#210423inandfortheStateofWashingtonMYCOMMISSIONEXPIRESPrintedName:MWIviAf-tL2.—September282023.-I.-Resiuingat.v1IS’Mycommissionexpires:e•2I(SealorStamp)