Affidavit of Legal InterestAFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Dustee Woolstenhulme PO Box 2469
(name) (address)
Pocatello Idaho
(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:
Lombard Conrad Architect 472 W Wq.,;hinqton Strept, Ro0.(;e,1D—"
(name) ...
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.
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 4th day of June , 20 21
���zc ..F"�
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first abo Ti 1.
=ACARTER (Notary Public for Idaho)
2Residingat:339 ��� My Commission Expires:
33 E. Broadway Avenue, Suite 102 . Meridian, Idaho 83642
Phone: (208) 887-2211 9 Facsimile: (208) 887-1297 • Website: www.meridiancity.org