DOC_03 CITY OF MERIDIAN Affidavit of Legal Interest - Brix V1cyqQD-
APPROVED
DA 04/2rY22
FUNNIM -waamo
(1) Disk with electronic version of the conceptual engineering plans in the format specified
above.
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO
COUNTY OF ADA
I Steve Bainbridge 835 E. Fairview, Ave
Meridian (name) Idaho,83642 (address)
(city) (state)
being fast 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:
Dennis Taggart, Architect
(tee)
436 W. Broadway, Meridian, ID 83642
(address)
to submitthe accompanying application(.) pertaining to that propern.
I a,rce to indemnify, defend and hold the City of Meridian and its cmnloyccs harmless
from any claim or liability resoltinc from any di,putc as to the ntatcmcnts contained
herein or as to the ownership oPthe property which is the subject of the application.
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).
Dated this day of at kt,, 4 , 20 Z"L..
(S gnature)
SUBSCRIBED AND SWORN to before me the day and year first ebooc whiten.
SU&A �-
TIFFANY SCHLOTE ,X Rw/'
COMMISSION 4 20213489 (Notary Public for Idaho)
NOTARY PUBLIC Residingat:A%A' C13)j w l�10404:0 ,lW
STATE OF IDAHO ^—I
My Commission Expires:
Community Development . Planning Division ■ 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www.meridiancity.orgiplaonin¢