PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
O��o
STATE 0 WAHO )
COUNTY OF A )
(name) (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:
Horrocks Engineers 2775 W Navigator Dr., Ste. 210, Meridian, ID 83642
(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 0CC�d�J' ,20 ^�
Si .n ture)
SUBSCRIBED AND SWORN to before me the day and year first above written.
MELISSAJOY Z(Nottu c for4daho)NOTARY PUBLIC
STATE OF COLORADONOTARY IO 20194031189 Residing at: �—
MY COMMISSION EXPIRES AUGUr*T 15 2023
My Commission Expires: ./"►t-t �1
(Rev 05129/20)