PZ - Legal Interest Affidavits AFFIDAVIT OF LEGAL 11INTIMEST
STATE OF IDAHO )
COUNTY OF ADA }
L�� (name) V� (address)
(city) (state)
being first duly sworn upon, oath,depose and say:
I, That I am the record owner of the property described on the attached, and I grant my
permission to:
l= sro-e Ji�,r(� �Iu gt1iSC��
(t ame) (address) 8 3 7o 2
to submit the accompanying application(s)pertaining to that property.
2. Y ag,r:ee !o-:it.>demttify,-defend.and:hald:the City.of.Meritia.an and.,ifs.ernployees } r less
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 t4A , 2-p--
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
4,4 1 )�41%5bf _
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z �. (N Public for fro) U "ct tt, F . 144j2 Residing at: e
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(Rev 05/29,120)
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AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
e) (address)
(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:
Ki►Alcy - E g- , ! V W VG✓{yl0Gk S 5�e 60 l 5C- $37pa
(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).
Dated this day of � - ,20
Si a
SUBSCRIBED AND SWORN to before me the day and year first above written.
,'��.•' .� M;AR • (Notary Public for Idaho)
vNpTARResiding at:
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OF �� •.
33 E.Broadway Avenue,Suite 102 • Meridian,Idaho 83642
Phone: (208)887-2211 • Facsimile: (208)887-1297 • Website:www.meridiancity.org