Affidavit of Legal Interestwww.meridiaiicit%.or,-,,12ttblic works/autocad standmdsindex.as
(1) Disk with electronic version of the conceptual engineering plans in the format specified
above.
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO
COUNTY OF ADA
I Je-Pg Z-:l 036�G
(name) (address)
(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:
Nevd-,Avi Ace-%4e.e�t r� -,LGe eossck-'1701,
(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 2�� day of 20 20
("�—
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
SHINAY STECKEL (Notary Pub c for Idaho)
Public - State of Idaho--rr��11Commission Number 69129 Residing at: i'�`Q f rYl J. D[Notary
y Commission Expires O7.05.2023
My Commission Expires: � ' ' 2(JZ�
Community Development s Planning Division ■ 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www. meridiancin.onJolannine