HomeMy WebLinkAboutPZ - Legal Interest AFFIDAVIT OF LEGAL INTEREST
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(name) (address)
/u�D I/97J 1bi977�
(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:
KM Engineering,LLP 5725 N.Discovery Way,Boise, ID 83713
(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. 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 /Z I N day of ^t/,0k , 20 2
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF 10 t H V ) ss)
COUNTY OF n V )
This record was acknowledged before me on /41*-q k& /2 20? (date)by
(name of person signing form).
i
CANDIS ZOE HARRIS Sig re of Notart.PZlic
COMMISSION#20240572
NOTARY PUBLIC STATE Commission Expires:
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STATE OF IDAHO y P
MY COMMINION t>1fas oor1
(Rev 06/01/22)