Affidavit of Legal Interest V1COUNTY OF ADA
MAA( &'11"I I `� 1 s,- Avc- �F
(name) n (address)
(city) (state)
being first duly sworn upon, ow ls, depose and say:
1. That I am the record owner of the property described on the attached, and I grant my
permission to:
Penelope Constantikes, RileyPlennina Services_LLC P.O. Box 405, Boise, ID 83701
(name) (address)
to submit the accompanying application(s) pertaining to that property.
2. I agree to indemnify, defend and hold the City of Meridiesa 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
SUBSCRIBio 6WWORN to before me the day and year first above written.
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EXP
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a ; lotary Public for W45G,, 5IV
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g NOTARY � rls
(P PUBLIC 2 + Residing at;1yo)0 Si., oi /�S /��, /�t k ��Sy,`Ilc,
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a : ExpirIW/ �/� z s ,�`: G, �� My Commission es• _ I
Off,W''AS` e��1``•
Cotnmi►it Y)I'velopment ■ Planning Division ■ 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www.meridiancity.org/planning
(0312712020)