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HomeMy WebLinkAboutDOC_Affidavit of Legal Interest - Hatch Industrial V1�E IDR IAy APPROVED DATE 06/30/22 FILE NUMBER:-02aoo2D IDAHO W ADA AFFIDAVIT OF LEGAL INTEREST (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: Hatch Design Architecture - Jeff Hatch 200 W 36th St., Garden City, ID 83714 (name) (address) to submit the accompanying application(s) pertaining to that property. 2. I agr a to indemnify, defend and hold the City of Meridian and ' employees harmless from a claim or liability resulting from any dispute as the statements contained herein or as a ownership of the property which is thject of the application. 3. I hereby grant permis ' to City of Meridian staff to enter the subject property for the purpose of site inspections re d to processing said application(s). Dated this jayof 20 (Signature) 2IB AND SWORN to before me the day and year first above written. (Notary Public for Idaho) Residing at: Se f a - " aCAN100 -� My Commission Expires: 33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642 Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: waw meridiancity oro �E IDR IAN,— APPROVED DATE: 06/30/22 FILE NUMBER:—0210020 NIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) 1 2 3 -------------------- --- <::z ----------------------- 4 > -------------- ---------------------- 6 Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) IA notary public or other officer completing this certificate verifies only the identity ofthe individual who signed the document I to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Sc�Yi 1 ecA C) #my VANESSA S. HODGEMAN Notary Public . California San Diego CountyCommission - 2282318 Comm. Expires Mar 22. 2023 Place Notary Seal and/or Stamp Above Subscribed and sworn to (or affirmed) before me on this 7 �� day of "Vl ua!2;Z 20 2 I by Date Month Year (1) )?IOY' �k+c�l-\ (and (2) Nome(s) of Signer(s) proved to me on the basis of satisfactory idence to be the person(s) who ared b ore Signatu e Signature of Notary Public ^_1 -n� yr r rWINi ompleting this information can deter alteration of the document or ulent reattachment of this form to an unintended document. �f Description of Attached Docume Title or Type of Document: Document Dat Nu of Pages: Signer(s) Other Than Named Above: ©2019 National Notary Association M1304-08 (09/19)