PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
{
J'OAM'�an Ala fwf//y
(name) (address)
�t J-104-
(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:
(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 sr acziicnts 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
2027
SUBSCRIBED AND SWORN to'before me the day and year first above written.
STATE OF ) ss)
COUNTY OF
This record was acknowledged before me onh a r ecnr date)by
,,�/ 7 S (name of person signing form).
TALON SERDAR
Notary Public
State of Idaho Signature of Notary Public
Commission No_ 2o223993 My Commission Expires, 1rf
2 C_- �.
—.-_-_-- (Rev 06/01r22)