CC - Affidavit of Legal Interest-West Lot AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
01 MIL r l .G'�li �� he7 �35 roa N
n LAO (name) (address)
L? (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:
Breckon Land Design 6661 N Glenwood Street, Garden City, Idaho
(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 / `r alve.0�4'e 92020
(Signature)
SUBSCRIBED AND SWORN to before me the anl) ear first above written.
` V1 � 13t�c�ce�h
sUa Q +,
c++ I ' (Notary public for Idaho)
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Residing at: Yv � C(rllikrOD� ✓� GaVI i
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My Commission Expires:
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(Rev 05129@0)