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CC - Legal Interest Affidavit AFFMAVIrr OF LEGAL INTEREST STATE OF MMO ) Ct3iU�Olt ) Mir h- I Carou Maaage_Mack Cat'�©L tom. 1420 S.Milie Ave. Suite M (U �- (address) Lodi CA g5242 (city) (state) bcmg fist duly swam upon,oaE depose=d say: L That I am the record owner of the prnperty descries on the attached, and I grant my r�rei•�ca�to: Penelope Constantikes, Riley Planning Services P.Q.Box 405, Eloise.ID 83701 (tee) (address) Io submit the accompanyingapplication(s)pm ain to that MperLy- 2. 1 agree to mdemnify, defend and hold the City of meridian and its employees harmless tam any clam or liability ruing lion any dispute as to the statements eontamed herin or as to the nvmmhip of the property which is the suhleet ofthe app cafion. 3. 1 hereby grant p=msssioa to City of meridian staff to cutar the snbjcut properly for the purpose of site inspec-fians whac-d to pmcesshig said application(s). Dated 4 is_clay of�E 1 20 (Signature) SUDSCRIBED AND SWORN to beffare me the clay and year firs ve writtem y (I+T terry I'Vblie for ) Residing at My COMMISSiOn EV : Ccs.r� pm,e[rt� arrung3trves-hoer s 33 P-made A?•. ,¢� t'e_I�A/�eucliau,Idaho S36d2 208-8 -5533 Fwu 2M-E88-5854v�cY m�€ictiauctEy_orJ�I�n (G3Q7,Q i20) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of 3` Lti y) Subscribed and sworn to (or affirmed before me on this day of �� -_ 2020, by�Cfe� �;r��bg proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me_ DIANE D.WOODS Notary Public-California = 1 '' San Joaquin Caunty Commission#2257529 JAY Comm.moires Oct 5,2022 (Seal) Signatur w Nevada eSOS Page 1 of 3 ENTITY INFORMATION l ENTITY INFORMATION Entity Name: BLACK CAT 30 L.L.C. Entity Number: E0272822019-1 j Entity Type: of Domestic Limited-Liability Company(86) ` Entity Status- Active _ For nation Date: O6112/2019 NW Business ID: NV20i91438924 Termination Date.- Perpetual Annual Report Due Date: 613012020 i Series LLC: i Restricted LLC: I https-1/esos.nv.govIEntitySeardi/BusinessInformation 10/25/20I9 Nevada eSOS Page 2 of 3 REGISTERED AGENT INFORMATION Name of Individual or Legal Entity. MICHAEL CAROUBA Status: Active CRA Agent Entity T e: '� tY YID l Registered Agent Type: Agent l R i Non-Commercaegisered Ag i � NV Business ID: Office or Position: � 1 I Jurisdiction: a Street Address: I 500 DAMONTE RANCH PKWY, RENO, NV, 89521, USA Email Address: Mailing Address: Individual v ith Authority to Act: Contact Phone Number: Fictitious Website or Domain Name: i l PRINCIPAL OFFICE ADDRESS i Address: } Ntailing Address: I https:/lcsos.nv.gov/EntitySearch/Businesshifonnation 10/2512019 Nevada eSOS Page 3 of 3 OFFICER INFORMATION VIEW HISTORICAL DATA ............ _-. _-.-------. _.___.....__....................... ............. _.._.... .------- --- _..---- --------- ...-....-....:.......--------:.._......_._. 3 Last Title Name Address Updated Staters Managing MICHAEL 748 S MEADOWS PKWY SUITE A9-297, 06/12/2019 Active Member CAROUSA RENO, NV,8952L USA Page 1 of t records 1 to 1 of 1 Filing History Name History iVlergerslConversions Return to Search Return to Results https://esos.nv.gov/EnftySe=h/Businesslnforination 1{)]25/2019