AFFIDAVITAFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
(name) (address)
i_ sfGcvwp/ i:a9LSfr ,vsn
(city) (state)
being first duly sworn upon, oath, depose and say:
That I am the record owner of the property described on the attached, and I grant my permission
to:
(name) (address)
to submit the accompanying applications) 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.
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).
i re)
SUBSCRIBED AND SWORN to before me the day and y r first abo written.
(i otary Public for Idaho)
NICOLETIE SMITH Residing at: p 015 E) I D
NOTARY PUBLIC • STATE OF IDAHo qq COMMISSION NUMBER 20203378 p' 3
MY COMMISSION EXPIRES831•2028 ..My.Copirnis5ion Expires:
Community Development � Plamiing Division � 33 E. Broadway Avenue, Sle. l02 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www.meridiancity,Qy„[,olanni�