PZ - Affidavit of Legal Interests AFFIDAVIT OF LEGAL INTEREST
STATE OF IIDAIrO Ur qh
COUNTY OF ADA )
,
I, � e ►'� k Md�� �i � � � ' ►' � i � i � e �' G � � 1 � � '� � I� �� E1l �UZica / Ic14�
(name) J (ad ress) T
(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 :
� � rr► I � �i � � � , IIDJ W 5t ste. Jy, �3�� , s ` TD 83 )o,;�
(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) .
C'e
Dated this day of At C,(/ i( �-f , 20 -3
( Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written .
(No Public for Idaho) [IT( L
NOTARY PUBLIC
KATHY WEBSTER Residing at :
COMM . # 714432
FAY COMMISSION EXPIRES
NOVEMBER 02, 2024 My Commission Expires : Pyw ata )
STATE OF UTAH
( Rev 05 /29/20)
AFFIDAVIT OF LEGAL INTEREST
1 , coIl I ll y <
(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 :
+kocf t Ite) 0 1 S , ICJ 8 3c7(D
(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 �1 day of , 20AJ2�
0 h
6 Q ( Signature
SUBSCRIBED AND SWORN to before me the day and year first above written .
STATE OF � A K 0 ) ss)
COUNTY OF N GkA )
l (JC- kB k/ � O 0( )
This record wasacknowledged before me on date by
(name of person signing form) .
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•
$ G
z NOTAR Signature of Notary Public
.. .
pUB1.1G ti®
S':�y 1ola�::®� 0 My Commission Expires : 0� �
,0F` 1�,e
AFFIDAVIT OF LEGAL INTEREST
(name) ( address)
A i c�. � V1a
(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) 03 )Qz OD () ' lc)a
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) .
�i
Dated this day off 520 r
ure
SUBSCRIBED AND SWORN to before me the day and year first above written.
STATE OF I �^ ) ss)
COUNTY OF � ` )
This record was acknowledged before me on e 't�� i 5 � J a o D 3 (date) by
' `n � yc'c � "(\ (name of person signing form) .
.•'• ti,�••••No 2a�•,� '•,�
• O • �. �� •� y •.
Y�,J10 0 Signature of Notary Public
_• pUBLXC cv My Commission Expires :
400
�''•�TE Of 19�•°