PZ - Affidavit of Legal Interests AFFIDAVIT OF LEGAL INTEREST
1, /Yj a n^,�c T�.�s ><M� 5 L 4-1 a Zo ft J,
(name) (address)
� I;s c F 3 7bGJ
(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:
/ a r ti fti _ , I 1/cf Sr�,roc J` a�� 1 of
(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 5 ��- ,20
00-011,
Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF I Amin ) ss)
COUNTY OF &�a )
This record was acknowledged before me on Q I I1 Vn 2.t�Z�_ (date)by
Olfi'bo4N, S�uni+ (name of person signing form).
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Sign a of Notary PAlic,
BRANDI R BROKENS
rotary Public-State of Idaho
ommission Number 20231995 My Commission Expires: 0 S ( I '1.�2G\
t' :yCommission Expires May 1, 2029
(Rev 06/01/22)
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I,�r,rl� lnnit �ol'd1h�15 ( C6rl�70h l ��� ! �V.�t^ tHrJ��lll -
(name (address)
(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:
Katie Miller- Bailey Engineering, Inc. 1119 E. State Street, Ste.210 Eagle ID 83616
(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 �2Q*_% day of L/- 20
ire)
SUBSCRIBED AND SWORN to before me the day and year first above written
(Notary Public for Idaho)
ADAIR KOLTES T
Notary Public-State of Idaho Residing at: YI
Commission Number30052
My Commission Expires 06 05 2028 My Commission Expires: V ice+
(Rev 05/29/20)
LAKE HAZEL ROAD
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REVEILLE RIDGE SUBDIVISION
VICINITY MAP
alley Engineering, Inc.
500 0 250 500 1000 CIVIL ENGINEERING I PLANNING I CADD
1119 E.STATE STREET,SUITE 210 TEL 208-938-0013
SCALE IN FEET EAGLE, ID 83616 www.baileyengineers.com
1"=500'