HomeMy WebLinkAboutAffidavit of Legal Interest V1APPROVED
DA EI 03/02/22
SCE
STATE OF WA$O )
COUNTY OF ADA }
AFFIDAVIT OF LEGAL INTEREST
a .. /v..
(name) 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:
(name) (address)
to submit the accompanying application(s) pertaining to that property.
2. 1 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. 1 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).
FIN
Dated this 0 day of -C��ct/' 20 a� �
(Signature)
SUBSCRIBER ,AND SWORN to before me the day and year first above written.
McommissionExPires
RI
(Notary Public for Idaho)
IC
Residing a# / Ci f / a Q
Emy06/17/27
My Commission Expires: b 1Z
(Rey 05129/20)