HomeMy WebLinkAboutPZ - Affidavit AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
A P I , Z)F W
{name) C (address)1C,
(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:
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(name) (address) —<nvvIrti &,Lt Cr-
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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 15th day of April ,2025
(Signatu r
SUBSCRIBED AND SWORN to before me the day and year first above written.
1
t P lic for Idaho)
VINCENT CLIFFURD JODJANA
COMM. #2455645 z Residingat: �.US NC-�ELES CovfJ
�• Notary Public-California o
z i Los Angeles County -�
o My Comm,Expires July 29,2027 My Commission Expires: � r O Z7
A notar public or other officer corgi let'n this
pyti11cate verifreds only the identityy of tie
Indivi ual who si a the document tb which this
certificate is atta'CT d and nqt the tKuthfulness,
accuracy,orva 1 It of treat document.
(Rev 05/29/20)