affidavit V1(E IDi� IA\,-
APPROVED
DA EI 09/15/22
AFFIDAVIT OF LEGAL INTEREST
:IJ %UMRc RA-2022 0076
STATE OF IDAHO )
COUNTY OF ADA )
I, 1;1,qrk C 5d ors , k3 % Te r fm dvv'rd
1 / (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 I grant my
permission to:
JUB Engineers 2760 W. Excursion Ln. 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 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).
t�
Dated'this day of �`�'%4/'c1i , 20dJ\,_
0® M,'pe- Fr,*Akl,:J,
MAr`lC CAJ5 1-o,�. (Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written. ,Q
VV
(Notary Public for Idaho) G, y�0
Residing at:
L V�J
My Commission Expires: d`
33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208) 887-2211 • Facsimile: (208) 887-1297 • Website: www.meridiancity.org
(E IDi� IA\,-
APPROVED
4a:e 09"5/22 ry public or other officer completing this certificate
IE%UMR;RA-0220076 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
C�Z�19►Y � � _ ' • •
Subscribed and sworn to (or affirmed) before me on this 21 day of 1\1 A�- C v 1,
2022,
by M or r k C V',j Sf —r0 VW
provea to me on the basis of satlstactory evlaence to be the person(A) who appeared before me.
CATHY NI. SHELTb
NOTARY P LIC U(vr4"'M
COMM. # 2236105
NOTARY PUBLIC - CALIFORNIAPOLO COUNTY 0
OMM. EXPIRES APItIL 23, 220222