HomeMy WebLinkAboutNOA_Affidavit_of_Sign_Installation_20190805_v1.pdfDEPARTMENT OF COMMUNITY CITY of
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
I. I, ��L .. _y r2CA , certify under penalty of perjury under
the laws of t6 State of Washington that the foregoing is true and correct, being first
duly sworn on oath, deposes and says:
2. On the 0 day of , 20 1 installed
public information sign(s) on the property located at _jl S/ // 39 A+1Z ,5CZ
for the following project: Jia, L4=An 64—r� 9&AGS6
:[�2.A- ti SPLUCiPLI 21 A T
Project Name
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 acka
Insalley Signature
SUBSCRIBED AND SWORN to before me this day4anclrfor
, 20.
Notary Washington
N PU LI ie Stateof Washington,
State of Washington { ,
ANGELA CRUZ residing at X16 I (AA
MY COMMISSION EXPIRES
February 06, 2022 My commission expires on (, A lC ZZ
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H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Pub Info Sign Handout.docx Rev. 08/2016