HomeMy WebLinkAboutDOC- A-2021-0228 - Owner Affidavit V1APPROVED
DAT 02/08/22
I,E NUMB; R'A 202-0228
31= OF IDAHO )
COUNTY OF ADA )
Verizon Wireless
I,
Boise
AFFIDAVIT OF LEGAL INTEREST
12877 West McMillan Street
(name) ID (address)
(city) (state)
being first duly sworn upon, oath, depose and say:
1. That I am the record owner of the property described on the attached, and I grant my
permission to:
New Cingular Wireless PCS, LLC 161 Inverness Drive West, 2nd Floor Englewood, CO 80122
(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
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public for Idaho)
Residing
My Commission Expires:
33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208) 887-2211 • Facsimile: (208) 887-1297 • Website: www.meridiancity.org
20