stonesthrow affidafit (2)STATE OF MAHO
COUN- TY OF ADA
AFFIDAVIT OF LEGAL INTEREST
( ) address)
n I
(citv) (crate,
being first duly swom upon- oath, depose and say:
That I am the record owner of the property described on the attach- and I grant rn p-r.—
to:
( name) (address )
to submit the accompanying application(s) pertaining to that property-
1 agree to indemnify- defend and hold the City of Meridian and its employees harmless from az _-
claim or liability resulting from any dispute as to the statemen*s contained herein or as to -he
ownership of the property which is the subject of the application.
3_ I hereby grant permission to City of Mendian staff to enter the subject property c-r the prrpcse
of site inspections related to processing said applicationis►_
Dated this % day of G ;�J �A- � LQ �
t
SUBSCRIBED AND SWORN to before me the day and year fast abo%e .iTitten_
tbJotary Public for Idaho)
=AmberBarberResidingat: My Commission Expires: —
( o"" v DeL elopnww ■ Ptamina Di,.isio, ■ 3. F Broad*ay %vme- SW- HE b4e6dian- Idaho x3642
Phone_ -'0&8 4-Ji533 Fa : 20g-n8-68