HomeMy WebLinkAboutAffidavitSTATE OF IDAHO �
)
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
(aame)(address)
(city) (state)
being first duty 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 bold 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 1 7 day of 24
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written._
a art eesonlus
Co+omissian Mumber: 20i8Z1T� s ;-
Nc4ary Public �- otary Public for Idaho)
State of kteho ✓� _
Commiasion ; 79
eliding at:
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My Commission Expires: _ i 11 L'z 5 /'.�- q
Community Development ■ Planning Division ■ 33 E. Broadway ,avenue, Ste. 142 Meridian. Idaho 83642
Phnne. 20$-884-3333 Fax:'?(i&-888-685� `.:�a ��r.i�r�;riG'+y,c�2 t��;ri•,sa��aai;*�