HomeMy WebLinkAboutCC - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )b n 1 I n
I, C /1 ,re3 2zL4J, x2 o) S S d � lcld /gal
11 (name) (address)
21` i cLiQt1 Sdu,�,.o
(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:
T-O Engineers 332 N . Broadmore Way, Nampa , ID 83687
(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 / s� day of cLs� 20 ZZ
rA
V l�
(Signature)
SUBSCRIBED AND SWORN to before me the day and
Jyear
/first
taabove written.
.nn.. / /�`It44Pl�-q
•'% L LI V/�;%., (Notary Public for Idaho)
�66006�••�P • po. 7o1. J> •.L g Vl�l.eafaA 1 lc�Ot�to F 1 � Residing at:
U) 0°40TARy� ? 6
!i St pt/HLIC My Commission Expires:
%qTF OF •I'D L •
(Rev 05/29/20)