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03b - Affidavit of Legal InterestAFFIDAVIT OF LEGAL INTEREST STATE OF IDAHO ) COUNTY OF ADA ) 1, A 117 AI. rt?�3tc,2 WJiy� (name) (address) entSE Ib>ar+C> 3�t7 (city) (state) being first duly sworn upon, oath, depose and say: That I run the record owner of the property described on the attached, and I grant my permissionto: i 5/JQJ 412c�-1 yFe-J.,�, 200 t,.J. d' ^ziZg Sr. R�IS£ 1. g77702 (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. 1 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). Ty f/ Dated this ��� �L day of , 20 / % tgnature) SUBSCRIBED AND SWORN to before me the day and year first above written. (Notary Public for Idaho) See Attached Acl nOwledgetnefst r � � Residing at: My Commission Expires: Community Development a Planning Division c 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642 Phone: 208-884-5533 Fax* 208-888-6854 ivww.meridinncitv.orn/olannine CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) 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 tee- YESENIATORCHIA Notary public -California Santa 6arbara County Commi"lon C 2184425 My Comm. Explfds Mar 21, 2a21 Subscribed and sworn to (or affirmed) before me on this y i G`day of I?a 20 by Date 1 fh Year (1) (1)re, C/ VCz�� I E (and (2) Names) of Signers) proved to me on the basis of satis actory evidence to be the person(s) who appled before me. Signature Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: ©2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910