FB Clubhouse CZC AffidavitAFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Samuel M Johnson/Fairbourne Development LLC 2701 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:
Samuel M Johnson
(name)
2701 E. Pine Ave
(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 10 Jay of April 20 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public for Idaho)NANCYAMCUNN
,
NOTARY Pusuc - STATE OF IDAHO Residing at: It 0 i D W . J 7 �ru �Y� � � ►�! ?D ? 3113
COMMISSION NUMBER 61494
MY COMMISSION EXPIRES 12.19.2025 My Commission Expires:
Community Development ■ Planning Division a 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www.meridiaiit;ity.,L)rL,-/Iii-,tniiiii