HomeMy WebLinkAboutCC - Affidavit AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, 7� A� 35&v17 Mo�a/�� 9kr Z,
(nil�v Lsrt--p)) ^" li �77/raddress)
(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:
Barghausen Consulting Engineers, Inc. 18215 72nd Ave S, Kent, WA 98032
(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 31 day of v 220
(/ig4natur
SUBSCRIBED AND SWORN to before me the day and year first above written.
(No ary Publi for Idaho)
=NOTARYPUBLIC
NKS Residing a �O
ER 20200268
BLIC My Commission Expires: 30 2 ZfoAHOres 01/30/26
(Rev 05/29/20)