HomeMy WebLinkAboutCC - Affidavit of Legal Interest,MatadorAFFIDAVIT OF LEGAL INTEREST
STATE OF D)AHO
COLTNI Y OF ADA
�{ (name) (address)
(City) (statcl —
being first duly swom upon, oath, depose and sav:
1. That T am the record owner of the PMPCM described on the attached, and I grant my
pe®issiun W-.
Ma17'y K.
Q v14_AL__Tl Ul AL I c kJ
(address)
to nibmit the accompanying application(s) pennimng to that property,
2. 1 agree to indemnify, dcfimd and hold the City of Meridian and its employees hannicxs
frum any claim or liability resuinntl 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 1 harsby grant potmission to City of Meridian staff to enter the subicct prnprnv for the
propose Of site impections Muted to processing said application(s).
Dated this g—' ' day of cy
(signature)
SUBSCRMM AIND SWORN to before me the day and year fiat above Wrineo
txrrARv austtC
i N JENNA HIATT (Notary Public forldand)c
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tii_yt MYCOMMISMNEXPIREB Residingat: G( _�._
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STATE OFiJTAH My Cummission Expires: � 1�
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