Affidavit of Legal Interest V1AFFIDAVIT OF LEGAL 11INTIMEST
STATE OF IDAHO )
COUNTY OF ADA }
-- i�IN�OCf4 '�oL'h12N r 6ta(A , �2,b
L E (name) V (address)
(city) (state)
being first duly sworn upon, oath, depose and say:
I, That I am the record owner of the property described on the attached, and I grant my
permission to:
J('W" �0([\ -.!1- 10 g,,�-6L �tq-t� (10 9ok-To
(t ame) (address) 8 3 7o 2
to submit the accompanying application(s) pertaining to that property.
Y agreeio-:itutemrtif defendand:haldlhe Ci:t. ofMeri-dian and ,its .employees l.%:rnless
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-oft4A , 2-p--
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
4'� 1 ) � AA%a-
(N Public for fro)
U -ct tt k 144j2 Residing at: e
4
N x>
o V
E M rF {trissicxnes:gi
(Rev 05/29,120)