HomeMy WebLinkAboutCC - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, /��'%I� rv���r IWuWe� er- ��"�I�a��L �."� , /•��O�C� ,..�� �o'/�S' �� '�/L
(name`) 3i3 �Lc (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
permissions to:
hi � �/ 1 a A), Ore,hbt va sf :�6) VS 0,s'e T'd
(name) (address) 6'3
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
_. ... -day of u 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
*-P'u"lic for Idaho)
R6idiiii -Oat-:
My Commission Expires:
Community Development m Planning Division m 33 E.Broadway Avenue,Ste, 102 Meridian,Idaho 83642
Phone:208-884-5533 Fax:208-888-6854 www meridiauei or8/plannin
A notary public or other officer completing this certificate verifies 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
County of San Joaquin
Subscribed and sw,9rn to (or affirmed) before me on thisQ54��ay of ("the
20 q—
by proved to me asis of
satisfactory evidence to be the person(s)who appeared before me.
n ra/�
DIANE D.WOODS
Notary Public•California
i i o San Joaquin County
Signature e r* Commission#24153E0
we My Comm.Expires Oct 5,2026