CC - Legal Interest AffidavitSTATE OF IDAHO
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
(name) (address)
(city) (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 permission
to:
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(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 �day of �� • 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above writte
P o)
JANE E BOUCHEREAU
COMMISSIO14 024191135
NOTAFw PUBLIC Residing at:
STATE OF IDAHO /�L°J'/
MY COMMISSION EXPIRES 08/06/2026 My Commis ton Expires:
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Community Development • Planning Division ■ 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www.meriditinyity.org/planning