HomeMy WebLinkAboutNOA_Public_Outreach_Sign_Affidavit_220303_V1.pdfDEPARTMENT OF COMMUNITY CITY,.=
AND ECONOMIC DEVELOPMENT --------- Renton '
AFFIDAVIT OF INSTALLATION OF
PUBLIC OUTREACH SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone:425-430-7200 I Wwwxgntonwa. ov
STATE OF WASHINGTON ) ntonwa.gov/
1 SS
COUNTY OF KING
being first duly
sworn on oath, deposes and says:
1. On the ZN77 day of 4(A-2 20 22. , I installed public
outreach sign(s) on the property located at
for the following project:
�kSI�J; des l�Ti`�
Project Name
Owner Name
2. 1 have attached a copy of the neighborhood detail map marked with an "X" to indicate
the location of the installed sign.
3. This/these public information sign(s) was/were constructed and installed in locations in
conformance with the requirements of Chapter 7 Title 4 of Renton Municipal Code and
the City's "Public Information Signs Installation" handout package.
7
Installer Signature
SUBSCRIBED AND SWORN to before me this 01 66�day of — At&XA —, 20
STATE OF WASHINGTON
COMMISSION EXPIRES
JULY 3, 2022
� lbuw-�11
NOTARY PUBLIC in and for the State of Washington,
residing at & SDIZ4, UIA-
My commission expires on
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Pub Outreach Sign Handout.docx Rev. 02/2016