Affidavit of Legal InterestII II i 1) Disk with electronic version of the conceptual engineering plans in the format specified
� above.
STATE OF IDAHO )
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COUNTY OF ADA )
AFFIDAVIT OF LEGAL. INTEREST
3 -00 �J' I I
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(name) (address)
Z3q Z-
(city) (state)
being first duly swom 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:
Architecture Northwest, PA
Randy Haverfield, AIA
S
(name)
224 16th Ave. S. Nampa, ID 83651
(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.2
(Si
SUBSCRIBED AND SWORN to before me the day and year first above written.
ANDREA KRONZ (Notary Public for Idaho)
Notary Public - State of Idaho ,vl
Commission Number 20181728 Residing at: F UNG-,
My Commission Expires Sep 10, 2024
My Commission Expires: j,�,gzu /0 2 0' y
t .'ornnauni[-
y Development ■ Planning Division a 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-88M854 www.meridiancity.org)plannin¢