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HomeMy WebLinkAboutAFFADAVIT - 17-00662 - 902 Oak Hill Way - New SFRBuilding Safety Department City of Rexburg 35N WE Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 State of Idaho County of Madison Name City Affidavit of Legal Interest Being first duly sworn upon oath, depose and say: C IT Y OF REXBURG Anierica's F'amdy Community S65 P61,1MC ]2d 1 0 Address TE) State (If Applicant is also Owner of Record, skip to B) That I am the recqyd owner of tlle,property described on the attached, and I grant my permission to: Ca ll AR�%idy (t22 Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City 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. Dated this 0Z7 day of 0 C 7`a 6t2 , 2017 Xy1o'�1 Subscribed and sworn to before me the day a d year first above written.�� No ry Public of Id. o NOTARY Z Residing at: Iri(�Q �Zl ,Lj pUBLIG �I%P'L� • My commission expires: