HomeMy WebLinkAboutAffidavit of legal interest V1AFFIDAVIT OF LEGAL INTEREST
STATE OF 1DAHO
COUNTY OF ADA
1. _ /7IB Geri/4.1W W11M" LL C
(name)
ZAt &ZA11
(city)
being first duly sworn upon, oath, depose and say:
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/ (address)
(state)
That I am the record owner of the property described on the attached, and I grant Illy
permission to:
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(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 day ofAM"J)— _ -- __ 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first abovLPublic
'
LEILANI GAMBOA (No ar OM) NOTARY PUBUG Alt c�
APPT. N0.06-109640-1 Residing at: \ A11'(, i ll.i
*my
V
APPT. EXPIRES MAY 28 2023 �qI-41
My Commission Expires:
(Rc% 05 21) 20 )