PZ - Legal Interest Affidavit AFFID N71T OF LEGAL INTEREST
STATE OF IDAHO )
COC \Tl' OF ADA )
I - I
t Lie,
me ) 4 Gf�]r dress )
Icitw ( state )
being first dul \ s\\ om upon. oath. depose and ca\ :
1 - That I am the record o%\ ner of the propem described on the attached. and 1 grant m \
permission to :
Tq ke, 'Ps v E
1name ) ( address ) --. t53 qZ
to submit the accompan\ ing applicationls ) pertaining to that propert\ .
=- I agree to indemnif_c- defend and hold the Cit\ of Meridian and its emplo\ ees harmless
I am claim or liability resultin_r from am m
dispute as to the statements contained
herein or a. to the o \\ nership of the propert \ \x hich is the subject of the application .
hereb \ _ant permission to Cit\ of Meridian state to enter the subject propert` for the
purpose ofsi ; e inspec
tio
ns related to processing said application( s ) .
Dated this ds \ of Z � /� ' o ,
� � i �nantrel
SUBSCRIBED AND S \\ -CoR \ % fore me the da\ and % ear first ahl\ e
i -oiar\ Public for Idaho
EDWARD RODRIGUEZ Re� idmg at :
Notary Public - State of Idaho
Commission Number \ I
My Commission EupUts Aug 29 ,29 , 2022 -\ Commission Expires :
pres : �I UCi
R.n _ >