Affidavit of Legal InterestSTATE OF IDAHO )
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
(n e) (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:
Dana Kauffman
INSIGHTarchitects, pa 2238 Broadway Ave, Boise, ID 83706
(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 }� 121 L— , 20�f _
6k-� 6 CA , "� am RLI:�
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SUBSCRIBED AND SWORN to before me the day and year first above written.
/ �e'�.
(Notary PqJAc for Idaho)
ANTHONY DAHLQUIST Residing at: �(� �ic �� Xkr;d;&y?a D 834 4#(,
Notary Public >> f
State of Idaho My Commission Expires: OZ-/Z 2-ZZOZ7
Commission No. 20210830
(Rev 05/29M)