HomeMy WebLinkAboutL_Affidavit_of_Mailing_LUA21-000019CITY OF RENTON
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - PLANNING DIVISION
AFFIDAVIT OF SERVICE BY MAILING
On the 26th day of January, 2021, 1 deposited in the mails of the United States, a sealed envelope containing Certificate of Exemption,
Shoreline Management decision documents. This information was sent to:
Name
Representing
See Attached
Agency
signature of Sender):
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SS
COUNTY OF KING
I certify that I know or have satisfactory evidence that Jennifer Cisneros signed this instrument and acknowledged it to be his/her/their free
and voluntary act for the uses and purposes mentioned in the instrument.
Dated: \ 'Llo�.\
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Notary (Print):
appointment expires:
Notary(Pu�pis in and for the State of Washington
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Project Name: King County Black River Pump Station Emergency Fish Screen Repair
Project Number: LUA21-000019, SME
Affidavit of Service by Mailing
Agency Letter Mailing
Duwamish Tribal Office
4717 W Marginal Way SW
Seattle, WA 98106
Affidavit of Service by Mailing Revised 05/19/20