CC - Affidavit-Teakwood-JBI AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
Bryan Shepperd, Manager
JBI Elemental, LLC 404 S. 8th Street Ste 150
I, >
Boise
(name) Idaho (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:
1324 1 st St. South
Leavitt & Associates Engineers, Inc Nampa, Idaho
(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 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 QC I✓, 120
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
otary Public( of Ida`pow)
JORREPubfi DELate o m"g, I�1,,,,,,,��\� \ aqs\\1 .131 Il`J�1 I s
Notary Publk-State of Idaho. Residing at: 1 � �] i
Commission Number Oct 16,2 y p [\ 1 k ln'o
My Commission Expires Oct 76,2026 M Commission Expires: w\\��r. 'IL
(Rev 05/29/20)