Affidavit of Legal InterestSTATE OF IDAHO )
COUNTY OF ADA )
AFFIDAVIT OF LEGAL INTEREST
(name) (address)
(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:
yo`r r4oZ114- tlol W. CizoyE Sr. -5615e ,xD
(name) (address) b.570 2,
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 day of b CJ00 1L21 , 20>
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Pub is or I a io)
Residing at: 'Wl ��I Akld
My Commission Expires: U11111102,22
(Rev 05/29/20)