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PZ - Legal Interest Affidavit
AFFIDAVIT OF LEGAL INTEREST STATE OF IDAHO ) COUNTY OF ADA ) I I, �O tJ {j e-P (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: Hatch Design Architecture-Jeff Hatch 200 W 36th St.,Garden City,ID 83714 (name) (address) to submit the accompanying application(s)pertaining to that property. 2. I agr e to indemnify, defend and hold the City of Meridian and ' employees harmless from a claim or liability resulting from any dispute as the statements contained herein or as e ownership of the property which is th ject of the application. 3. I hereby grant permi—s*e4.to City of Meridian staff to enter the subject property for the purpose of site inspections re d to processing said application(s). Dated this day of 20 (Signature) SUBSCRIBW AND SWORN to before me the day and year first above written. \ (Notary Public for Idaho) 11� ( � Residing at: Se G T aCkv,00 My Commission Expires: 33 E.Broadway Avenue,Suite 102 • Meridian,Idaho 83642 Phone: (208)884-5533 • Facsimile: (208)888-6854 • Website:www.meridiancity.or¢ 1 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE §8202 See Attached Document(Notary to cross out lines 1-6 below) ❑See Statement Below(Lines 1-6 to be completed only by document signer[s], not Notary) i 2 3 4 5 6 Signature of Document Signer No. 1 Signature of Document Signer No. 2(if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Subscribed and sworn to(or affirmed)before me Say-, County of S l � on this �� day of —17XA+�1 yctf/ , 20 2 1 , i by Date [ Month Year (1) POYI -Ft�� (and(2) ) VANESSA S.HODGEMAN Nome(s)of Signer(s) : Notary Public•California San Diego County F proved to me on the basis of satisfactory idence to Commission;228231 - be the person(s)who ared b ore My Comm.Expires Mar 22.2023 i Signatu e Place Notary Sea/and/or Stamp Above Signature of Notary Public OPTIONAL Completing this information can deter alteration of the document or ulent reattachment of this form to an unintended document. Description of Attached Docume Title or Type of Document: Document Dat Nu of Pages: Signer(s)Other Than Named Above: ©2019 National Notary Association M1304-08 (09/19)