affadavidAFFIDAVIT OF LEGAL INTEREST
STATE Ole b recce.—,
COUNTY ( I
1. 1 rin CL ��G G` _ PL) -79
(addrems
e
(city) (state)
Icing first duly Nwom upm oath, depose and my.
That i arm the record owner of the property described on the attachvI and 1 grant my
permission to:
(nantc) (address)
to submit the accornpwiying application(s) pertaining to that proper
2. 1 agwe to indemify, cl fend and hold flit City of Meridian and its cirtploye s harness
fr•oin any claim or liability resulting from any dispute as to the statements contained
hm rcin or as to the ownership of the property which is the subject of the application.
3. 1 hereby grant ptmission to City of Meridian zaafY to enter the subject property for the
pulse of site inspections related to procesiing sand application (s).
Dated dais .... day of MA M .20
i
�. Signature)
SUBSCRIBED AND SWORN to before trio the day and year first above wrinen.
of lf~!�6 i Mtn
SELENI PAMIAN RAMIREZ
NOTARY PUBLIC - OREGON
COMMISSION N0.992664
MY COMMISSIOW EXPIRES OCTOSER 8, 2023
(Notary Public foam-.
Residing au -
my commis, -ion expires.
Ca+ras mnily. Dovia4+rrr rA a Ptan►ting Divition r 33 L Broa&,al• At enoe. Sic. 102 Men". Idaho 83642
Phone: 208- i-5533 fzx: -108-- C"K54 wma-w maridianrig,nrs-..�s�.n.