HomeMy WebLinkAboutCC - Affidavit of Legal Interest AFFIDAVIT OF LEGAL IIiNTEI .ST
(naive) (address)
17
(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
permissions tw
,gy
(name.) (address)
to submit the accompanying applicatiou(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:
1 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
r
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written..
STATE OF.
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COUNTY OF )
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This record-was acknowledged before me.on ° , U.? (date) by
-�Ah a vyld�f (name of person signing form).
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