HomeMy WebLinkAboutPZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF iDAHO C 1 f-r,f N , c,
COUNTY OF ABA) V\A
I, �►1�einge I my�qmx 5 No\fqN.4-x �
(name) (address)
0 v 11 " 0�'
(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:
AJI!c act l�lal , S N a,"191P WAY f orizlA V01116 (P '00M
(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).
Dated this 2 2) day of M a r c ti 20 2?>
(Signature)
,4A�+N�fqe'r2 A46-M merldi'aa Z LL—L
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public for Idaho)
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Residing at:
My Commission Expires:
CA r1,0tCArJ C-er—JJf Cade
(Rev 05/29/20)
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE §8202
ASee 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)
Signature of Document 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
County of San M C11 '-} "0 on this �U day of- a -Gh .20 a 3 ,
by Date Month Year
(1) /A 1'ch a-e l N1 o,-PP I'a
00' �
SAMANTHADIPPERT (and(2)
Notary Public•CaliforniaSan Mateo CountyNames)of Signers)
Commission#2381945
My Comm.Expires 4ov b,2025 proved to me on the basis of satisfactory evidence to
be the person(s)who appeared before me.
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Signature 1
Place Notary Seal and/or Stamp Above Signature of Notary Public
- OPTIONAL
Completing this information can deter alteration of the docume
fraudulent reattachment of this form to an unintend ument.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages: _.
Signer ther Than Named Above:
020117 National Notary Association