PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
X5cr..�ov�
(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:
5-2 , < "-5gL_�I
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. 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 ,20 c�3
7(Signat e))SUBSCRIBED AND SWORN to before me the day and year first above written.
/(�N�otary Public for Ida )
ADAI c State o Residing at: / VQ hLL 0Lt �u
Notary Public- State of Idaho �— —TI—
Commission Number30052 /_ ,�5. �/l
My Commission Expires 06-05-2028 My Commission Expires: Irr v"
(Rev 05/29/20)
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Ol�th lJ�ry AfA141� L(�--
(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:
5'k Ae `� � ly �i !Y •f--!/
(name) J (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. 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 _/ Yl rr��rG�l ,20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public for Idaho)
ADAIR KOLTES
Notary Public- State of Idaho Residing at: ��
Commission Number30052 /_�C�- ��a$
My Commission Expires 06-05-2028 My Commission Expires: E�
(Rev 05/29120)
i
I
i
AFFIDAVIT OF LEGAL INTEREST
(name) (address) -
C.
{ci yl (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:
Katie Miller-.Bailev Engineering, Inc., 1119 E. State St., Ste. 210 Eagle, ID 83616
(name) (address)
to submit the accompanying application(s)pertaining to that property.
2. I agree to indetmify, defend and hold the City of Meridian and its employees harmless from
any claim or liability resulting from any dispute as to the statements contaired 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 c X, !" 20 -
(S=gnat-are)
SUBSCRIBED AND SWORN to befcre me the day and year first above written.
STATE OF .► ss)
COUNTY OF )
This record was acknowledged before me on q OZj J (date)by
d' r& (name of person signing form).
Kelly Vierra / J
LNumber20'8-0:45otary PublicSignaturc of No ry Public
tate of Idaho
mmission Expfreg /,z
arch 26, 202�4 My Commission Expires:
(Rev 06/01/22)
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
X5cr..�ov�
(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:
5-2 , < "-5gL_�I
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. 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 ,20 c�3
7(Signat e))SUBSCRIBED AND SWORN to before me the day and year first above written.
/(�N�otary Public for Ida )
ADAI c State o Residing at: / VQ hLL 0Lt �u
Notary Public- State of Idaho �— —TI—
Commission Number30052 /_ ,�5. �/l
My Commission Expires 06-05-2028 My Commission Expires: Irr v"
(Rev 05/29/20)
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Ol�th lJ�ry AfA141� L(�--
(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:
5'k Ae `� � ly �i !Y •f--!/
(name) J (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. 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 _/ Yl rr��rG�l ,20
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public for Idaho)
ADAIR KOLTES
Notary Public- State of Idaho Residing at: ��
Commission Number30052 /_�C�- ��a$
My Commission Expires 06-05-2028 My Commission Expires: E�
(Rev 05/29120)
AFFIDAV
IT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
(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
pennission to:
arne � (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. 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 7 day of _ _ __......,_ ,20
(Signature) ~—
SUBSCRIBED AND SWORN to before me the day and year first above written.
Kelly Vierra wj/��
Commission Nttmber 2018-0545 otary Public for Idaho)
Notary Public
State of Idaho Residing at: /0-L- T D
My Commission Expires
Marcie 26,2024 __3 z- /_�l�
My Commission Expires: _
(Rev 05129/20)