PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I,L a rr4 ) a ay"A e t 1 a{
(name) P (address)
4t: ff K6411 i7G/ eZA),? e
(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:
(name) (address) 50'ks e a '$C$ —4f3`70Z
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 fiom 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 l day of Myn&� 20 0u
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
&�'f wvv —�B I,
SAMANTHA BLUEMEL (Notary Public for Idaho)
arM a Notary Public StatL
Utah n^ n
$ My Commission Exon: Residing at: 07
July 15, 202
Yp> Comm. Number: 02
My Commission Expires:
33 E.Broadway Avenue,Suite 102 . Meridian,Idaho 83642
Phone: (208)887-2211 . Facsimile: (208)887-1297 • Website:www.meridiancity.org