PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF EDAHO )
COUNTY OF ADA4.V - C;
�
~ (naane) (address)
a 1 i
-X-C
(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
permiss ion to:
Hatch Design Architecture 200 W. 36th St. Boisa, ID 83714
(name) (address)
to submit the accompanying application(s) pertaining to that property..
2 . I agree to indemni-fy, defend and hold the pity of Meridian and its employees harmless
from any claim or liabili ty 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 penmissi on to City of Meridian staff to enter the subject property for the
purpose of site inspections related to processing said appiication(s).
Dated this Cq (C30111 day of �� )eN �-- , 24 � r
f
r
(Sign4ure)
SUBSCRIBED AND SWORN to before me the day and year first abase written.
cARR + E HOMBURG (Notary Public for Id o)
COMMISSION #164P
NOTARY PI; BLIC Residing at: Melb�, �
STATE OF } DAHCt Residing at: .
My Commission Expires:
33 E. Broadway Avenue, Suite 142 Meridian, Idaho 83642
Phone: (208) 887-221 ] Facsimile: (208) 887- 1297 • Website: www.meridiancity.arg