HomeMy WebLinkAboutAffidavit of Legal Interest V1APPROVED
DA EI 04/19/22
:IJ%U61B:R'PBA-22 -1
====JF IDAHO )
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
I,��Glr�tssg /�fo� �lAyS , r%r
(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:
(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 day of I V i-Ve111 be—r , 2d z;2�
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
[MELISSA FUJIOKA-BURNZNotary Public, State of IdahoCommission No. 2018-0401 Commissicn F,cpires 03/02/2024
:> �.
(Notar" ublic for Idaho)
Residing at: ��"�✓:l�J'% i —Ly
My Commission Expires:
Community Development ■ Planning Division ■ 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 w��w.meridiancitv_or iplannin<
�E IDIAN>
APPROVED
DATE: 04/19/22
FILE NUMBER: P-02i-o021
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO }
COUNTY OF ADA }
�71.3,--1/ , c� /-1 ouega:e Oar,
(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:
(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 15A day of �1%L��7YI;�L'� , 20ZI
IT (Signature)
SUBSCRIBED AND SWORN to before me the day and
JHAESEA DRAKE
Notary Public - State of Idaho
Commission Number 20204219
My Commission Expires Oct 28, 2026
My Commission Expires: