HomeMy WebLinkAboutPZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF ry'd r
COUNTY OF
(�ca.na Ca 2r �cI-O sn l�A �� �--�-G 1401 17th Street, Suite#700
(name) (address)
Denver Colorado
(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:
Black Rock Store Operations LLC 9170 E Bahia Dr. STE 101 Scottsdale, AZ 85260
,
(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. 1 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 of C`e C , 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year/first above written.
tary blic for-1d$ho)L-p It,v�du
ilir'ELISSA joy
�TAT E 0 r C 0t.0 P-AD Residing at: PJ S•Z
1CTARY ID 20-194031189
(;JiIAI iISSION EXPIRES AUGUST ?'17
�m-w� — ---- _ My Commission Expires:
(Rev 0512920)