HomeMy WebLinkAboutPZ - Affidavit of Legal Interest J
AFFIDAVIT OF LEGAL INTEREST
(name) (address)
5 RA Ga[cc C't'
(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) 3-7 0--L 7
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).
�'C l9 f`'( 120
Dated this day of Y(kik
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF (Ai�'�l ) ss)
COUNTY OF 5614- k )
This record was acknowledged before me on T&LWC� (date)by
A4- (hO'ki A S Sc "lD ('-d(� (name of person signing form).
Signature of Notary Public
�p. BAILEY PETERSON
Notary Public, State of Utah My Commission Expires: I fit��f Z 7
Commission#733005
My Commission Expires On
October04,2027
(Rev 06/01/22)