AFFIDAVIT OF LEGAL INTEREST V1CUEIDR IAN
APPROVED
DATE: 06/29/22
FILE NUMBER:^- D-DOei
IDAHO
COUNTY OF ADA
AFFIDAVIT OF LEGAL INTEREST
Ke_Sle.lpckrarvqu- -S'bu"'L�L_L
(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:
Scott Marshall, Architect
(name)
4521 S. Cloverdale Rd. Ste. 102, Boise, ID
(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 22 n A day of (\ o,,r e JQ , 20 Z 0 2 7_
�. V, 'SL-„
(Signature)
SUBSCRIBED AND SWORN to before me the day and year First above written.
,`,,,�.fffffffff fp..
KE&ticco':
�$ NOTARY • '
PUBLIC
REG # 20215057
MY COMMISSION
• EXPIRES
•• 10/121201.- ' O
OF
'ffflffffff��`,
(Notary Public for I /) /
Residing at: GZ U • cl�i2 L .
My Commission Expires: �(' / oZ o2002 -7
(Rev 05/29/20)