HomeMy WebLinkAboutAffidavit1 V1NfE IDR IAy
APPROVED
DATE: 03/18/22
FILE NUMBER: —D -DWD
STATE OF IDAHO
COUNTY OF ADA
AFFIDAVIT OF LEGAL INTEREST
(name)
(city)
being first duly sworn upon, oath, depose and say:
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fW�0 (address)
i (state)
That I am the record owner of the property described on the attached, and I grant my
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 ZI day of Jed it �4jw , 20 Z I
--r-'Wjf{e of r is 04vi 6 >
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
SOCA ��111111111111////
•��.YPUA;•••• �� (Notary Public for ld b
WCOMMISSION = Residing at: L>Vna 4 1(Lahn
ORRES 2-7-2023 _
My Commission Expires: (O�(yl�_
••`;q�OF 10,Ay��?����
(Rev 05/29/20)
(E IDI� I.�1\
APPROVED
DH,E 03/18/22
:I.E 'VO K R'. H-2021-0080
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