HomeMy WebLinkAboutPZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Cecyle Brock , 1130 E. Pine Ave
(name) (address)
Meridian , Idaho
(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:
Studio H Architects 306 NE 2nd St, Meridian, ID 8364:
(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 day of �' 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public for Idaho)
Residing at:. tke r l d 1 Cl to $ k D
My Commission Expires: _.02.1.0 2030
MARY ORTIZ
COMMISSION#20240884
NOTARY PUBLIC
(Rev 05/29/20) STATE OF IDAHO
[My COMMISSION EXPIRES ow0aaM