HomeMy WebLinkAboutAffidavit of Legal Interest V1APPROVED
JA:E 08/31/22
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OF IDAHO )
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
(name)
•¢-
(city)
being first duty sworn upon, oath, depose and say:
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address)
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(state)
That I am the record owner of the property described on the attached, and I grant my
permission to:
Jason Smith 4355 W. Emerald, Suite 110 - Boise, ID 83706
(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 A I day of J cam.
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
LELA M BROOKS (Notary Public for Idaho)
COMMISSFON #202LU79 /,
NOTARY PUBUC Residing at: k4w
STATE OF IDAHO t
My Commission Expires: O Z
20 �
(Rev 05/29/20)