CC - Legal Interest Affidavit AFFIDAVIT OF LEGAL INTEREST
m
STATE OF )
COUNTY OF Mhk
1; a
1 Dan Burrell -2- 04 a- b =, ,,� Vd_
(name) (address
(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:
Patrick Boel 1109 W Main Street,Boise,ID 83702
(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 propeo which is the subject of the application.
3. 1 hereby grant permission to City of ridian staff to enter the subject property for the
purpose of site inspections related to pr cessing said application(s).
Dated this day o ,20
,o
s (Signature)
SUBSCRIBED AND SWORN to before me the day and year first ve written.
(Notary Public for I )L' r-Q W
CHRIST
00
FOTAR 'STATE OF COLORADO gResidin at:ID 19944005658N EXPIRES FEB 6;2023
My Commission Expires:
(Rev 05/29/20)