Affidavit of Legal Interest_ACHDISE
Boise City Hall,2nd Floor
150 N Capitol Boulevard
P.O. Box 500
Boise, ldaho 83701 -0500
Phone:208/60&7100
Fax 208/384-3867
TDD/TIY: 8001377-3529
Website: www
Address
Idaho
Affidavit of Legal lnterest
State of ldaho )
)ss
County of Ada )
Bruce wong, Dlrector ACHD 3775 N Adams St
Name
Garden City
City
being first duly sworn upon oath, depose and say:
(lf Applicant is also Owner of Record, skip to B)
That I am the record owner of the property described on the attached, and I grant my
,!__!_ _ r_ Verizon & Verizon Sub-Contractors 12877 WestMcMittan Road Boise, lD 83713permission to '-''-
Name Address
to submit the accompanying application pertaining to that property.
B. I agree te indemnify; defend and held Beise City and its employees harmless from any
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Dated this 6th
A.
day of 'January 20 2r
Subscribed and sworn to before me the day
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i 3 Comm.6205l .: .!
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Notary Public for
/Cah o
My commission expires:
August 13,2025