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Acknowl edgmentCertificate
State of Idaho)
County of
On this Jday of, in the year 20 , before me-�
a notary public, personallytaared DL
proved on the basis of satisfactory evidence to be the person( ) whose name(s) (is/are)
subscribed to this instrument, and acknowledged (he/she/they) executed the same. Witness my
hand and official seal.
JEREMY DEFREES
Notary Public
State of Idaho
—SEAL—
Description of Attached Document ('0'j
Title or Type of Document: l�-�a'f'"W��
Document Date: Number of Pages: 42-4, ,� � � � Gt-Ok
Signer(s) Other Than Named Above: 0/11
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Commission E,x 'res
NOTAIRY PUBLIC
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I,
(name) l�ess�
v CA—V\ ::m
(city) (state)
being first duly sworn upon, oath, depose and say:
That I am the record owner of the property described on the attached, and I grant my
permission to:
Z L V-e.v\V�
(name)
(address)
to submit the accompanying application(s) pertaining to that property.
2. I agree to indemnify, defend and hold the City of Meridian and its employees harmless
from any claim or liability resulting from any dispute as to the statements contained
herein or as to the ownership of the property which is the subject of the application.
3. I hereby grant permission to City of Meridian staff to enter the subject property for the
purpose of site inspections related to processing said application(s).
Dated this day of 20
I�
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first ab o wr' en.
JEREMY OEFREES
Notary Public otary Pu ►Idaho)
State of Idaho
Residing at: In wit
My Commission Expires: l
AW( �Y/
33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6678 9 Website: www.meridiancity.org