Affidavit of Legal Interest V1APPROVED
DA EI 06/30/22
�IJ "'UMB;R:-
AFF DAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Daryl Zachman
(name)
Boise
(city)
being fast duly sworn upon, oath, depose and say:
9226 W Barnes Dr
(address)
Idaho 83709
(state)
1. That I am the record owner of the property described on the attached, and I grant my
permission to:
LKV Architects
Wayne Thowless, Architect, 2400 E Riverwalk Dr Boise, ID 83709
(name) Y (address)
to submit the accompanying application(s) pertaining to that property.
2. 1 agree to indernnify, 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 May day of 27th , 20 21
':�'l 4��
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
=SCHUMAKER (Notar Public for Idaho)
Residing at:_093
My Corninission Expires:
(Rev 05/29/20)