PZ - Legal Interest Affidavit AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
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k,A2r
(name) (address)
�d��t�
(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:
Cushing Terrell , 800 West Main St. Suite 800, Boise ID, 83702
(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 j day of , 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
EJAYME DANNER (Notary Public for Idaho)
Y PUBLIC-STATE OF IDAHO -- rr
MISSION NUMBER 58229 Resi it�g at:_ GLlY10Ci !L kk 1)
MI551ON ExPIRES i'28-2t)23
My Commission Expires: 711 a[! bz
Community Development■Planning Division in 33 E.Broadway Avenue,Ste. 102 Meridian,Idaho 83642
Phone:208-884-5533 Fax:208-888-6854 www.meridiancity.org(planning