PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
)
COUNTY OF ADA )
pc I"C
I, G vn P S R-1 1
yy��1 (n ) address)
(IL�i°r"J'uk 312L/
(city) (state)
being first duly swom 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:
/7)atk S fl,l4,-
1�I{�t�ceeln,�nlw,i{ 3�x 111T rater,'J�,m Ida6t
(name) Il l C (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.tom Y�day of Pr, I .20�
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written y
,o 114 A40R . 1
• P•''o�20i'��' (Notary Public for Idaho)
e �pfA=Y =z Residing at:
';a'.• pUBL a to= My Commission Expires: I I UZ z OZ`f
%* �•',
33 R Broadway Avenue,Suite 102• Meridian,Idaho 83642
Phone:.(208)887-2211 • Facsimile:(208)887-1297 • Website:www.meridiancity.org
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
)
COUNTY OF ADA )
Pe reL-f
I,J1010-5 PE,d , IRen41, /.-43 0 �f 4,1-r,rlc
(name) (Odre ss)
k31oy-1)
(city) (ate)
being first duly swom 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:
/llatf Sel���l>t�
SA). �� k� VP�nr�rnen� � BOX 1J1, 1)IFI-��iGr,i.�L�Q�)o
(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 A Pr .20
12
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
•,.•e.�rl�MOQ�, �(^_(�
'. (Notary Public for Idaho)
�O ARY'' x= J Residingat:'�5aih5lt.�er� A7oerzc Sll BJ-S�
SS.•PU>iV�e0= My Commission Expires: I I-b2-2Dz�
33 E.Broadway Avenue,Suite 102. Meridian,Idaho 83642
Phone:(208)887-2211 • Facsimile:(208)887-1297 • Website:www.meridiancity.org -