HomeMy WebLinkAboutCC - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
T, +,ram �.�, k�/' 5� q k) , ,6 0e ki%' &'
(na rie) (address)
etua, f B 3
(city) (state)
being first duly sworn upon, oath,depose and say:
I That T am the record owner of the property described on the attached, and I grant my
permission to:
�u lc P'e l&h+ (Ta 11 91,q�er,0 3(0 J W SAe-rd Or.114r 'ka4, P 936yZ
(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. T 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 -21 day of 120 �C
(Signature)
SUBSCRTBED AND SWORN to before me the day and year first above written.
STATE OF _T& ) ss)
COUNTY OF &ri )
This record was acknowledged before me on P6 1;N4 - (date)by
C 14celler (name of person signing form).
KYLE PREWETT SigKature of Notary Public
Notary Public-State of Idaho 7171,
]� �7
Commission Number 20223246 My Commission Expires: r 2
My Commission Expires Jul 7,2028
(Rev 06/01/22)