HomeMy WebLinkAboutPZ - Affidavit of Legal InterestAFFIDAVIT OF LEGAL M TE E T
STATE OF OK EGO )
COUNTY OF WASHINGTON)
i, T/ 1 r Tip r, l 1/
(name) (address)
(city)
being fiat duly sworn upon, oath, depose and say_
(state)
1, That I am the record owner of the properry describcd on the aaached, and 1 grant my permission to:
(address)
to submit the aeeompanying applications) 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 Lo enter the subject property for the purpose of site
inspections related to processing said application(s)-
1)ated this day of 0L O , 20 Lf
(Signature)
SEUBSCR1BED AND SWORN to before me the day and year first above written,
(Alot'ar Public f` re an}
R OFFICUL 5TAH?
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COMMISiIpH Hp, 1025116
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