PZ - Legal Interest Affidavit AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Matthew G.Cooper 9424 South 300 West
(name) (address)
Sandy UT
(city) (state)
being first duly sworn upon,oath,depose and say:
I. That I am the record owner of the property described on the attached, and I grant my
permission to:
Intermountain Pacific, LLC , 2541 E. Gala St., Suite 310, Meridian, ID 83642
(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 12th day of March 20 21
General Counsel
Z The Dagney Group,LLC
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
----., (Notary Public for Imo) vrAv4
JODEE ESPLIN
NOTARY PUBUC-STATE OF UTAH Residing at: SA v l.Ya.c� eovrvM
iLyY rn� y, COMMISSION#716734
COMM.EXP.03.12.2025 My Commission Expires: u3- a-202-<
(Rev 05/29/20)
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
,r f� ,� 2JKt GO-1 64, s,�c- Slo
I 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:
Intermountain Pacific, LLC , 2541 E. Gala St., Suite 310, Meridian, ID 83642
(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 Cucc'4'- ,20 Z
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
�'/(q/643#ublic for Idaho)
JEFFERY COMM NO.20170025 Residin at: -r1 d�a�n -�-6 AM-D
NOTARY PUBLIC g —
STATE OF IDAHO
My BION EXPIRES:JIKY00.Sm My Commission Expires: 7 3 Z 3
(Rev 05/29/20)
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
)
COUNTY OF ADA )
Mark Eriksen,Director of Facilities,for St.Luke's
Health System,Ltd.,the solc member of St.Luke's
I,Regional Medical Center,Ltd. 190 East Bannock Street
(name) (address)
Boise Idaho
(city) (state)
being first duly sworn upon,oath,depose and say:
re resent the record owner grants
1. That Ifithe record owner of the property described on the attached, and
permission to:
Intermountain Pacific, LLC , 2541 E. Gala St., Suite 310, Meridian, ID 83642
(name) (address)
to submit the accompanying application(s)pertaining to that property.
The record owner hereby agrees
2. =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 22nd day of March 12021
Fo«usig r.n.a�,�,k F.►:�w.
Mark Eriksen,Director of N ilities,(Signature)
St.Luke's Health System,Ltd.
SUBSCRIBED AND SWORN to before me the day and year first above written.
•• �, L' ��L(A KK�-
COS'••• .
4 0 •0.No � ••� (Notary Pub c for Idaho)
Residing at: I t+ o)4
nV Ht.IC My Commission Expires: U
04
1�5����y •�
•. •.••••• 1� .•
(Rev 03/29a0)