HomeMy WebLinkAboutPZ - Affidavit of Legal Interests AFFIDAVIT OF LEGAL INTEREST
I,
(name) (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
permission to:
Ben Semple @ 1450 W. Bannock St.
Rodney Evans + Partners, LLC Boise, ID 83702 _
(name) (address)
to submit the accompanying application(s)pertaining to that property.
2. 1 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.
1 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).
7�eo
Dated this day of i�� ,20
r`
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF HaSSaC k ss)
COUNTY OF rssel� )
This record was acknowledged before me on ' '. ( C f(date)by
Ha r (name of person signing form).
PAYTON-TAYLOR M. DUNN
-3"- Notary Public
Si ure of Notary tic
Massachusetts �
My commission Expires
Feb 2, 2029 _
:...n My Commission Expires: 0z zQ [7`7
(Rev 06/01/22)
AFFIDAVIT OF LEGAL INTEREST
/40
(name) (address)
46- 0j'�e /
(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:
Ben Semple @ 1450 W. Bannock St.
Rodney Evans + Partners, LLC Boise, ID 83702
(name) (address)
to submit the accompanying application(s)pertaining to that property.
2. 1 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 thisAb day of n ,20 2
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF 44W12 ) ss)
COUNTY OF )
This record was acknowledged before me on (date)by
(name of person signing form).
y11,ti1 U I I If I!!/
~�� •�p��Y PtJB���•. Signature of Notary Public
MY COMMISSION _
PES1224-2025: E My Commission Expires:
(Rev 06/01/22)