HomeMy WebLinkAboutAFFIDAVIT OF LEGAL INTEREST - 18-00314 -155 W 2nd S - Rocky Mountain Chocolate Factory - Tenant Finishc<RExa�Rc CITY OF Building Safety Department
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City of Rexburg
REXBURG
0,, 35 North 1St East
America's Family Community Rexburg, Idaho 83440
Affidavit of Legal Interest
State of Idaho
County of Madison
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City
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
State
A. That I am the record owner of the property described on the attached, and I grant my permission to:
Jared Arnell - 639 West 9500 South Ste. #1
Headwaters Construction Victor, ID 83455
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 I �` day of ��y t,iE , 20
Sign ure... __
Subscribed and sworn to before me the day and year first above written.
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Inspection Hotline - (208) 372.2344
Notary Public of Idaho
Residing at: ,� 4
My commission expires: (t-ttie.. 2
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www.rexburg.org Permit Technician- (208) 372.2341 Revised 10, 2016