HomeMy WebLinkAboutPZ - Affidavit of Legal Interest AHI,IDAVIT ()FLEGAL INTEREST
I E
�— (name) mr
(address)
(city)
C ram)
being brut duly Rare, opml, oath, depose and say,
L. That r an, the record owner of the property described ON the election, and I grant my
permission to:
CivilSphere Engineering 4466 N Waterfront Way, Boise, ID 83703
(name) (address)
to anbmit the aceompagying applications)Penniman to neuproperty.
2, 1 agree to indmmify, defend and hold the City of Meridian and Its employees harmless from
any Clain in liability resulting from any dispute as to the statements Contained herein eras
to the ownembip offhe property which is thesubjeetofRe application,
3, t hereby Want permission to City of Meridian staff to enter the sudje xproperty fat fie
propose 'Cate inspections related On mccesshsgseid appllestlon(s).
Datedflue V3 day of mayLl.. yp 41;C_
(Signamere)
SUBSCRIBED AND SWORN to before me the day and year first amoc orNear
STAT9;OF [ DiAYO J ere)
COUNT OF APA )
This mmcmd was acknowledged before me on m,.,& r /3e 202Y (date)by
(name of person signing form),
Coro rvcoxxo
rare
sun, grace Sugmanreal .
mluau
rorom�,ean soarer gal Val 2029 My commission Explea. .19 .e,-2v. Znzq