HomeMy WebLinkAboutAffidavit of Ownership - Apr 19 2022 - 4-11 PM V1APPROVED
DAT 08/05/22
U�*'h
STATE OF4DAMO)
0"V hS
COUNTY OF MM )
AFFIDAVIT OF LEGAL INTEREST
I, 12 El.1d 2 (,4SS F-v<- ��� E Soo S . �� 2no
I rInaq►e) (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:
6162 S. Willow Drive, Suite 320 Greenwood
Galloway & Company, Inc. Village, CO 80111
,
(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 III day of P� I 120 22
ignature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
iidef 'W
TENNYSON JANE FAUVER (Notary Publ' or)�
NOTARY PUBLIC • STATE OF UTAH vv , 1
:o rs COMMISSION NO.
717886 Residing at:
.... COMM. EXP. 2 3
My Commission Expires: 22 ' Z
(Rev 05/29/20)