HomeMy WebLinkAboutAffidavit of mailing 1 mileSTATEMENT UNDER PENALTY OF PERJURY
REGARDING MAILING OF PUBLIC NOTICE
Re: Mailing of Public Notice for Jefferson County Sportsmen’s Association;
Application No. OTH19-00016.
COMES NOW the undersigned, and hereby certifies (or declares) under penalty of perjury that the below statements are true and correct, to the best of my knowledge and belief.
My name is Pinky Feria Mingo and I am over the age of 18 and competent to testify herein.
I am authorized to represent the Jefferson County Public Health on the above-referenced application.
The public notice letters were mailed via United States Postal Service on __________, 2021, in accordance with the requirements of JCC 8.50.230.
Signed, under penalty of perjury under the laws of the State of Washington, at Port Townsend, Washington, on ______________________.
Date
__________________________________________
Name
Environmental Public Health Director
Title