PZ - Legal Interest Affidavit 675 Wells ST AFFIDAVrr OF LEGAL MMST
STAR OF LDAHO )
COUNTY OF ADA
W L,Is. 3l(o f4ce S SU!� Al,
(address)
----------------
790
may) (state)
being first duly sworn upon,oath,depose and say:
1. That I am the record owner of the property described on the attached, and I grant my
Pion to:
iftug 4ZIMAdl j{} � w t��r,�
_ 1 1 . fI.
(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 applit on(s).
Dated this day of 20_1_L_
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public fo GITk�-
Redding at: C 62 t-:�e
ww
My Commission Expires: 2.a u
(Rev fl5129t )