Affidavit of Legal Interest V1APPROVED
DA EI 03/23/22
SCE
STATE OF IDAHO )
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
CT
(name) (address
(city) (state)
being first duly sworn upon, oath, depose and say:
That I am the record owner of the property described on the attached, and I grant my
permission to:
The Land Group, Inc. 462 E. Shore Dr., Ste. 100, Eagle, ID 83616
(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.
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 �,r�'�� , 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
LISA M JOLLIFF
Notary Public - State of Idaho
Commission Number 47740
My Commission Expires Jan 6, 2026
(Notary c for Idal
Residing at: tl�
My Commission Expires:
33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208) 887-2211 • Facsimile: (208) 887-1297 • Website: www.meridiancity.org
APPROVED
)A:P 03/23/22
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