HomeMy WebLinkAboutNeighborhood Meeting Posting and Mailing AffidavitreŶtoŶǁa.goǀ/perŵitceŶter | plaŶŶiŶgcustoŵerserǀice@reŶtoŶǁa.goǀ | ϰϮϱ-ϰϯϬ-ϳϮϵϰ ϭϭ/ϴ/ϮϬϮϮ | Page ϭ of ϭ
CITY OF RENTON Ι PERMIT CENTER
AFFIDAVIT OF POSTING MEETING LOCATION
SIGN FOR NEIGHBORHOOD MEETING
STATE OF WASHINGTON Ϳ
Ϳ SS
COUNTY OF KING Ϳ
I, , ĐeƌtifLJ uŶdeƌ peŶaltLJ of peƌjuƌLJ uŶdeƌ the laǁs of the State of WashiŶgtoŶ
that the foƌegoiŶg is tƌue aŶd ĐoƌƌeĐt, aŶd dulLJ sǁoƌŶ oŶ oath, deposes aŶd saLJs,
ϭ.OŶ the ________ daLJ of ________________, ϮϬ_____, I iŶstalled ______ MeetiŶg loĐatioŶ sigŶ;sͿ oŶ the ŵaiŶ
eŶtƌaŶĐe of the ďuildiŶg loĐated at _____________________________________ foƌ the folloǁiŶg pƌojeĐt:
_____________________________________________
PƌojeĐt Naŵe
______________________________________________
OǁŶeƌ Naŵe
Ϯ.I haǀe attaĐhed a ĐopLJ of the ŵeetiŶg loĐatioŶ sigŶ;sͿ.
ϯ.This/these ŵeetiŶg loĐatioŶ sigŶ;sͿ ǁas/ǁeƌe ĐoŶstƌuĐted aŶd iŶstalled iŶ loĐatioŶs iŶ ĐoŶfoƌŵaŶĐe ǁith the
ƌeƋuiƌeŵeŶts of Chapteƌ ϴ Title ϰ of ReŶtoŶ MuŶiĐipal Code.
_______________________________________________
SigŶatuƌe of peƌsoŶ postiŶg
SUBSCRIBED AND SWORN ďefoƌe ŵe this_ ___ daLJ of______________, ϮϬ_______.
____________
NotaƌLJ PuďliĐ iŶ aŶd foƌ the State of WashiŶgtoŶ
NotaƌLJ ;PƌiŶtͿ:
MLJ appoiŶtŵeŶt edžpiƌes:
reŶtoŶǁa.goǀ/perŵitceŶter | plaŶŶiŶgcustoŵerserǀice@reŶtoŶǁa.goǀ | ϰϮϱ-ϰϯϬ-ϳϮϵϰ ϭϭ/ϴ/ϮϬϮϮ | Page ϭ of ϭ
CITY OF RENTON Ι PERMIT CENTER
AFFIDAVIT OF SERVICE BY MAILING FOR
NEIGHBORHOOD MEETING
STATE OF WASHINGTON Ϳ
Ϳ SS
COUNTY OF KING Ϳ
I, , ĐeƌtifLJ uŶdeƌ peŶaltLJ of peƌjuƌLJ uŶdeƌ the laǁs of the State of WashiŶgtoŶ
that the foƌegoiŶg is tƌue aŶd ĐoƌƌeĐt, aŶd dulLJ sǁoƌŶ oŶ oath, deposes aŶd saLJs,
ϭ.OŶ the ________ daLJ of ________________, ϮϬ_____, I deposited iŶ the ŵails of the UŶited States, a sealed
eŶǀelope ĐoŶtaiŶiŶg a Ŷeighďoƌhood ŵeetiŶg ŶotiĐe, puƌsuaŶt to ReŶtoŶ MuŶiĐipal Code seĐtioŶ ϰ-ϴ-ϬϵϬA
Neighďoƌhood MeetiŶgs to pƌopeƌtLJ oǁŶeƌs ǁithiŶ thƌee huŶdƌed feet ;300’Ϳ of the pƌopeƌtLJ foƌ the folloǁiŶg
pƌojeĐt:
_____________________________________________
PƌojeĐt Naŵe
______________________________________________
OǁŶeƌ Naŵe
Ϯ.This ŶotiĐe ǁas seŶt to the addƌesses iŶ the attaĐhed list, ǁhiĐh ǁas Đƌeated ďased oŶ the ŵost ƌeĐeŶt pƌopeƌtLJ tadž
assessŵeŶt ƌolls of KiŶg CouŶtLJ DepaƌtŵeŶt of AssessŵeŶts.
_______________________________________________
SeŶdeƌ SigŶatuƌe
SUBSCRIBED AND SWORN ďefoƌe ŵe this_ ___ daLJ of______________, ϮϬ_______.
____________
NotaƌLJ PuďliĐ iŶ aŶd foƌ the State of WashiŶgtoŶ
NotaƌLJ ;PƌiŶtͿ:
MLJ appoiŶtŵeŶt edžpiƌes: