HomeMy WebLinkAboutAffidavit for ID TollAFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
(name) (address)
Meridian
(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:
(name)
(address)
to submit the accompanying application(s) pertaining to that property.
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.
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 _ 21 St_day of_.APd , 20_2Q20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
L,
SABRINA DURTSCHI
COMMISSION #46693 (Notary Public for Idaho)
NOTARY PUBLIC
STATE OF IDAHO Y Residing at:
MY COMMISSION EXPIRES O41271202<-, p•
My Commission )Expires:
Community Development ■ Planning Division ■ 33 E. Broadway Avenue, Ste. IO2 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www.meridiancity.org/p]aTninlz
(10/0812019)