Affidavit of Legal Interest - Hensley Station - AffidavitAFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
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(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:
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(name)
� o l S A u4vo sr
(address)
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to submit the accompanying application(s) pertaining to that property.
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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).
Dated this day of , 20 Z t
S'
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
PENNY SMITH
COMMISSION #23665 Notary Public for Idaho)
NOTARY PUBLIC
STATE OF IDAHO Residing at:�
MY COMMISSIO14 EXPIRES 02/161 0025
My Commission Expires: _ P-lb — �e
33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208) 887-2211 • Facsimile: (208) 887-1297 • Website: www.meridiancity.org