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APPROVED
DATE: 08/24/22
FKE KW KR-. A- D-D153
STATE OF IDAHO
COi)NIY OF ADA
AFFIDAVIT OF LEGAL INTEREST
(name) (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 1 grant my
permission to:
Design West Architects, PA , 216 SW 5th Ave., Meridian, ID 83642
(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 claiiu 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 day orl
C -�'" (Signature)
SUBSCRIBED AND SWORN to before nie the day and year first above wrier
(Notary Public for Idaho)
SAMANTHAAARON
Notary Public - State of Idai � Residing at
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