PZ - Signed Affidavit AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, �_ ,� /grn�c.�5 ��C� c�+� �✓?/)Ct`) L9`1`J E r>ci c v �i.�G d` 1`J-
(name) (address)
f�lCv . r .`uv% ID
(city) (state)
being first duly sworn upon,oath,depose and say:
I. That I am the record owner of the property described on the attached, and I grant my
permission to:
KENT BROWN 3161 SPRINGWOOD DR MERIDIAN ID
(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 dd`—� day of , 20 a3
( ' nature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary/t�ry Public for Idahho))
ADAIR KOLTES Residing at: GI J-4-0
Notary Public- State of Idaho �� S 1 yQ
Commission Number 30052 My Commission Expires:
My Commission Expires 06-05-2028
33 E Broadway Suite 210 • Meridian,Idaho 83642
Phone: (208)884-5533 • Facsimile: (208)888-6678 • Website:www.meridiancity.org