Affidavit of Legal Interest V1CUEIDR IAy
APPROVED
DATE: 04/14/22
FILE NUMBER: a 022-0 ae
F IDAHO )
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
j •J _'/I C/ ';.--r.'/!C
(name)
/'?rr� di -1 ,
(city)
being first duly sworn upon, oath, depose and say:
jz513 7 C i Ceos v -J? I",
__• (address)
(state)
1. That I am the record owner of the property described on the attached, and I grant my
permission to:
In-N-Out Burger and its
Representatives
(name)
13502
Hamburger Ln. Baldwin Park, CA 91706
(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 /��/'1 day of Ae6rv��-/ , 2022_
tZ ig ature)
SUBSCRIBED AND SWORN to before me the day and year first above w •'tten.
Q,(,N ry Public for Idaho)
NICOLETTE SMITH Residing at: /�'%3>F '
F[-
OTARY PUBLIC F
OF IDAHO
COMMISSION N20203378 My Commission Expires: I 2 (o
Y C�?MMISSION S 8,51 2028
(Rev 05/29/20)