Affidavit of Legal Interest V1AFFIDAVIT OF LEGAL INTEREST
STATE
4,
COUNTY O)�
ANB�II
AARON DERSON ON BEHALF OF
I, PS MOUNTAIN WEST, LLC
701 WESTERN AVE.
(name)
GLENDALE
(address)
CALIFORNIA
(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:
NICOLETTE WOMACK 950 W BANNOCK ST, STE 1100
KIMLEY-HORN BOISE, ID 83702
(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 i day of YA A 12 c S , 20 �2-
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
MlJ 1 ALEXAN0ER MEDVEDSKYI (Notary Pu lic for-Idehe)
-� Notary Public . Czlftrnia
`,Sa`= Orange CounCy �� //J J
Commission = 2357300 Residingat
My Comm. Expires May 12, 2025 —
My Commission Expires:
(Rev 05/2920)