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NAME ADDRESS ASSESSOR'S PARCEL
NUMBER
b ELL hereby certify that the above list(s) of adjacent property
(Print Name)
owner and their addresses were obtained from:
13 City of Renton Technical Services Records
0 Title Company Records
E3 king County Assessors Records
Signed _ Date G Dp p
(Applicant)
NOTARY
ATTESTED: Subscribed and sworn before me, a Notary Public, in and for the State of Washington,
residing at 5 �� - on the � day of
Sig
//. q •O6
***"For City_of Renton Use****
CERTIFICATION OF MAILING fgg��gt,hereby certify that notices of the proposed a 1 t
ry 'Pti
(City Employee) STATE OF WASHiNGTON
each listed property owner on CpptMiSSION EXPIRES
( JUNE 29, 2003
Signed 5tl,ln(S.-kL-�- �c-q-�F'-- _ Date:_T,�.,_Ii .
NOTARY
ATT -ST: Subscribed and sworn before me, a Notary Pub ic, in and for the State of Washington residing
at f3c'-"1[H on the t>` day of �. (r 1s ? 'e o
I—)
usrprop.acc
REV 07/98 MARLYN KAMCHEFF
MY APPOINTMENTEXPIRES: 6-294M 2