HomeMy WebLinkAboutPZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
Aaron Zuzack 1556 Parkside Drive
(name) (address)
Walnut Creek CA
(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:
The Land Group 462 E Shore Dr, STE 100 Eagle ID 83616
(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).
20th December 23
Dated this day of ,20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF ) ss)
COUNTY OF )
This record was acknowledged before me on date)by
(name of pe• n signing form).
Signature of Notary Public
My Commission Expires:
(Rev 06/01/22)
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202
xSee Attached Document(Notary to cross out lines 1-6 below)
❑See Statement Below(Lines 1-6 to be completed only by document signer[s], not Notary)
cument Signer No. 1 Signature of Document Signer No. 2(if any)
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 Subscribed and sworn to (or affirmed) before me
Countyof on this '? day of 20 ZZ2,
by Daatee�_. Month Year
ALLISON D.KLEIN (and(2) ),
Notary Public-California
Contra Costa County z Nameg of Signer("
Commission M 2417438
*my Comm.Expires Oct 19,2026 proved to me on the basis of satisfac or nce to
be the person(s) a pe r fo me.
Signature
Place Notary Seal and/or Stamp Above Signature of N Pub a
OPTIONAL
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: I�v1� I �ti�^
Document Date: hi��eMV4-z Number of Pages:
Signer(s) Other Than Named Above:
02017 National Notary Association