PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
A%, U L
1 & `131 VJ 4w,
(name) (address)
Ald-10&A- :rc"o
( 1ty) (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:
d, Moor`
ell
(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 20_z3 _
(Signatur
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF (o� ) ss)
COUNTY OF : )
This record was acknowledged before me on �� h` ��(a(t ����a� (date)by
(name of person signing form).
HANNA WROTEN
Commission #67220
Notary Public Szgnattt e of Notary Public
State of Idaho
My Commission Expires:02/25/2028 My Commission Expires:
(Rev 06/01/22)