PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
^ o*OrJ ON o� Z-
6Q, T�
�(k
(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:
(name) (address)
to submit the accompanying application(s)pertaining to that property.
2. 1 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— t/-"8 day of , 20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year st aboJ
written.
STATE OF_:3:u_ ) ss)
COUNTY OF 4k-)
This record was acknowledged before me on �J B �d�3 (date)by
°N (name of person signing form).
BECKYJOHNSON - '
COMMISSION#19616 SignaturJoiD7 Public
NOTARY PUBLIC
STATE OF IDAHO My Commission Expires: `
MY COMMISSION EXPIRES 10/13/2028