Affidavit of Legal Interest V1(�E IDR IA
APPROVED
BATE 05/04/22
FILE NUMBER: MF-022u001
STATE OF IDAHO )
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
57A2 (name) (address)
(city) (state)
being first duly sworn upon, oath, depose and say:
1. 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.
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 22� day of a , 20zz
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above tten.
JESSICA LUPTON (Notary Public for Idaho)
COMMISSION #20212435
NOTAPY 'PUBLIC
STATE OF IDAHO
MY COMMISSION EXPIRES 08/21/2027
Residing at:
My Commission Expires: ? 72
(Rev 05/29/20)