HomeMy WebLinkAboutNOA_Public_Information_Sign_Affidavit_220303_V1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
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 OF KING )
1. I, RoJgr.2% &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 Z .vPday of /—i , 20 ZZ 1 installed �.
public information sign(s) on the property located at 3q>!Z 71Y5T
for the following project:
`10�1115 UA.,) /,_77`(
Project Name
4i*Tra� Z�� �LG
Owner Name
3. 1 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 % 0(day of %�CC-f'(�l 20 A�;'
JENNIFER RAE SMITH
NOTARY PUBLIC#119960
STATE OF WASHINGTON
COMMISSION EXPIRES
JULY 3, 2022
lei 060&L,
NOTARY PUBLIC in and for the State of Washington,
residing at % �S i//� W�A
My commission expires on
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Public Information Sign Handout.docx Rev. 02/2017