Affidavit of Legal Interest - signed V1E IDIAN,
APPROVED
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Date: save
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AFFMAM OF LEGAL VffEREST
STATE OF MAH® )
COUNTY OF ADA )
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--ael
(city) — (state)
being first duly sworn upm oath, depose and say;
I , That I am the record owner of the property described on the attach@d, and I grant my
permigglonto; 2590 N. EAGLE RD. MERIDIAN, ID. 83646
JEFF LIKES - ALC ARCHITECTURE 1119 E. STATE. ST. STE. 120. EAGLE, ID. 83616
(name) (address)
to submit the accompanying applications) pertaining to that property,
2, 1 agroc to indemnify, defend and hold the CIty of Meridian and Its omploy@@s hm:nl@ss
from any claim or liability resulting from any dispute as to the statements gnntalmW
heroin or as to the ownership of the property which is the subject of the application,
31 1 hereby grant permission to City of Meridian staff to enter the gub*t property for the
purpose of alto Inspections related to processing said application(s),
Dated this day4-11 of $0—
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SUBSCRIBED AND SWORN to b@fpr@ me the day and year first above writton,
(Notary purl )
din# at;
My Ca scion Xpi ,
33 B, Broadway Avnm Suk 102 • Moddim, Idaho 83642
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Permit Number: n�
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202
YSee 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)
Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any)
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
Countyof .540 7),<3o
01
*,I,IEL D. SPONSELLER
OMM. # 2360805
TARY PUBLIC CALIFORNIAAN DIEGO COUNTYn
M. EXPIRES JUNE 11, 2025"
Place Notary Seal and/or Stamp Above
Subscribed and''''orn to (or affirmed) before me
on this day of G� 20�,
by Date Month Year
(1) %
(and (2)
Names) of Signer(s)
proved to me on the basis of satisfactory ence to
be the person(s) whod be me.
Signature
Notary Public
Uri 1UNAL
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Documen`tC _ c
Title or Type of Document: A/!!AVI � OT
Document Date: ` �K Z I Number of Pages:
Signer(s) Other Than Named Above:
= 2019 National Notary Association
M1304-08 (09/19)