Affidavit of Legal InterestAFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, �A k r Vtnt.L� ., �1>�i?�� 4� '-("rr�
(name) (address)
(City) (state)
being first duly sworn upon, oath, depose and say;
That I atn the record owner of the property described on the attached, and I grant my
permission to:
LkV(��d�1s1Z�Jl�Y4p/j_jiSt'�D
(name) (address)
S 3`ID(v
to submit the accompanying applicatien(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 (inspection related to processing said application(s).
Dated this D dayof , 20j
(signature)
SUBSCRdBED AND SWORN to before me the day and year first above written,
\QEANNF WIT Public or Idaho)
` NOTARY
PUBLIC F
Commission # Residing at;_AA/ 1 U r jki
70000 _ `
My Commission z My Commission Expires: ftA4 11 6 i%ALX3
Expires
May 22, 2023 O
all
05/29720)