Loading...
HomeMy WebLinkAboutAPPLICATION - 18-00141 - Approx. 300 E 7th N - Rezonellxxnw 7rJlii l 35 N. )ME. Does the Rezone Fees• Less .than 1 acre: $500.00 More than 1 acre, less than 5: $850.00 5 to 10 acres: $900.00 Over 10 acres, less than 20: $1500.00 20 acres and over. $2500.00 P&Z Date V1 izT-71 Rezone Application ea "°°�q.� c i 'r ir tip City of Rexburg REXBURG Phone: 208.359.3020 .t+.nrAnk !W n@y tkmm�mrty m.reXbWq.0r9 For. 208.359.3022 i the comprehensive planP If no, comprehensive plan map change first. ith staff may be required prior to the submittal of this application. Submittal Requirements Publication Fee: $300.00 Rezone Fee:; o Total Fees Due $-L1. D, (70 Pee(s) Paid: Yes/No ❑ Complete Application. ❑ Current Vicinity Map. (81/z" x 11'7 - showing location and current zoning of the property. A map is available from the City Planning and Zoning Office. Please indicate the location of your property on the map. E. Property Description - Attach a metes and bounds description describing the overall area to be rezoned. o Description shall rnathematicab close. o Descriptions shall be otovided for the pcdmeter of the total area for which a rezone is bei2 rquested: and for each zone aeparate zoningclassification) within said request. Descriptions shall identify a basis of bearing based upon two (2) known points from which the descriptions are based. ❑ Affidavit of Legal Interest If you are the property owners agent, you are required to provide a notarized letter from the property owner authorizing submittal of this application. ❑ Pour (q) conies of the application and all supporting documents Will be needed 0 Digital copy (.pdf) emailed to the Planning & Zoning office APPLICANT: �iye.✓��/y"• Phone: OVA APPGcam?s/Address,: Z,?Z City/gT/Zip; ?GW"f Email: lJI9/icd�//Oe�/r^� lAht/�-6/�1^: (,,�. _ OWNER � (TfOV2r Z7N4�iy'7 �phoner. {oD.ZleQb'%70t% Recorded Owner's Address: —906 'jam TA City/ST/Zip: R�,4lr6- 117 83"D Email; (p. Gown PROPERTY: Address of Subject Property:.].n wokrt+ FX64bLLrq Yp Parcel Number..�Pi? � R G� f11 � � (03 y 2 Quarter. Section: Township: Range: On what street(s) does the property have frontage? "I la. Development Information 1. Size of Property A'Oml'CMS Square Fat (or) 2. How is the property now used? F}r& C�Y'A Il gh 3. Zoning: GurtcmZone:-%a.rnmr.r-cAbL Requested 4. Are there any existing land uses in the general area similarto the prop �/F_ are they located? S – �o1NItJ(, ltkg I. UOp (o! EP,cff- 5. What use, building or structure is intended for the property?.� G. How or further promote the use? If yes, what are they, and where GDC -- - - 7. Are water and'sewet facilities, streets, fire and police presently seiving this are? A 8. Is the site large enough to accommodate the proposed uses, parking, and buffering required? 9. Is the area currently sub -divided or going to be sub -divided? N (1 Any additional comments? Note: When an application has been submitted, it will be reviewed in order to determine compliance with' application requirements. It will only be processed if the application is complete and fees ate paid. A heating date will be scheduled only after an application has been accepted as complete. Application must be filed 21 days before a hearing to appear on the next Planning and Zoning agenda. 1. A'formal traffic.study may be required at the request of the Planning and Zoning Gomnussion. ' 2. Beforeannexation, the person or firm applying for annexation will agree to certain things: curb and gutter, streets, signaling,, water and sewer, property sizing and location. Signimrc'ofApplicant: '!1_–�-� Date: ����//e 2 Affidavit of Legal Interest "' t: i r r o F CIN of Rexburg S k V y dli 35 N.I^ E. Phone: 208.359.3020 Bedwrg; ID 83110 w .rextarcg.org for 208.359.3022 State of3datte County oMadteon t" "A"N"N 1 h C1Y'Otf�(' 6'73'7 w. MAO AAA102, Name - Address P69 APINSONA City State., Being first duly sworn upon oath, depose and say. (If Applicant is also Owner of Record, slip to B)- A That I am the record owner of the property described on the attached, and I grant my permission to: Name Addteas 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 day of 20 . _ _ Biguture Subscribed and sworn to before me the day and year first above written. Notary Public offdaho Vbci Zanal - Residing at JU f�oa�` S ii�1Pn �SO4b My commission expires: LA HFATHERfRONDA ti�ri ACQu 3 "y �J* "e 20 Affidavit of Legal Interest City of Rexburg 35 North N East Rexburg, ID 83440 State of Idaho County of Madison Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3022 I, i6 l 411 Name W, City Being first duly sworn upon oath, depose and say: Address State (If Applicant is also Owner of Record, skip to B) `4cl Maar.•*�, v l' 1 '1 Y Il f ` REXBURG 1 1 ri n xvuo..ry A. That I am the record owner of the property described on the attached, and I grant my permission to: 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 A%a/4 day of 2(S 20 A Signat re Subscribed and sworn to before me the day and year first above written. ANY M CLIFFORD I BLIC STATE OF OTARY IDAHO (� at: My commission expires: / - qa - @-6o1-d Report generated: Madison Co, aty Parcci Ceorr� 3/19/2018 10:12:28 AM Parcel Number: RPPXBCA0176541 Primary Owner: STOTT NOLAN & GWEN LIVING Secondary Owner 0.201 Site Address: 297 E 7th N Rexburg 83440 Mailing Address: 1803 MORNINGVIEWDR REXBURG ID 83440 Acreage: 0.2 GIS Square Feet: 8,742 GIS Acres: 0.201 Total Value: $27,500 Year Inspected: 2012 Last Year's Taxes: $256.16 Current Year's Taxes: $353.50 Tax amounts are approximate values, to get accurate values contact Madison County Treasurer's Office (208) 359-6264. Legal Description: REXBURG CITY ACREAGE PARCEL #6541 Category TCA 20 1000 20 1007 Description Residential Lot or Acreage Residential Lot or Acreage Deed Number: 249607 249835 251579 264887 325135 Assessment values are approximate, to get accurate values contact the Madison County Assessor's Office (208) 359-6243. Acreage Value 0.200 $12,400 0.000 $15,100 Total Value: $27,500 This map is a user generated static output from an Internet mapping site and Is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. WARRANTY DEED Order No.:3040615671 H E ALLIANCE TITLE $ ESCROW FOR VALUE RECEIVED P.O. BOX 732 REXBURG, ID 8344() Robert Paul Padelsky and Andres L. Padelsky, Husband and Wife the grantor(s), doles) hereby grant, bargain, sell and convey auto Nolan Stott and Gwen Stott, Trustees of the Nolan and Gwen Stolt Living Trust and Marguerite Stott, an unmarried person whose sweet address is 1829 Teton View Dr Rexburg, ID 83440 the grantee(s), the following described premises, in Madisi n County, Idaho, TO WIT: (tom mencing at a point that is North 89°31'39" East 695 feet from the Southwest curner of Section 17, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho, and running thence North 0128'31" West 141 feet; thence North 89031139" East 62 feet; thence South 0128'21" East 141 feel; thence South 89°31'39" West 62 feet to the point of beginning. Less county road. TO HAVE AND TO HOLD the said premises, with their appurtenances unto the said Grantee, heirs and assigns forever. And the said Grantor does hcreby covenant to and with the said Grantee(s), that (s)he islare the wa n ir(s) in fee simple of said premises; that they are free from all encumbrances Except: Current Year Taxes, conditions, covenants, restrictions, reservations, easements, rights and rights of way, apparent or of record. And that (s)he will warrant and defend the same from all lawful claims whatsoever. Dated: 1/05/2006 Robee sky Stale of Idaho ) )as. Cowry of Madison { On IN ,day of Jaa,Iary�/sin the year 2006_ before me allo Public in and for said state, personally appeared �.(nd oi- /�,tjg( froi�i/Ctir f Qrvl/ii /i known or identified to me to be the person whose'dame is subscribed to the within instrument and acknowledged to me that executed the same. IN WITNESS WHEREOF I have hemunta set my hand and affixed my official seal the day and Year first above written. Nota ublic the ateofldaho Commission Expires: State ondebo ` nesidkg N c4 P:. .. i.. 'mmissiot foy:as 07.112009 n:. Instrument # 325135 REXBURG, MADISON, IDAHO 200641-06 03:10:00 Ne. of P Des:1 / R ecardadfer:ALLIANCE ITLEAi4 CRppW R. RASMU88 /iW MARILYNMARILY o RaRASM Parcel Number: RPRXBCA0176392 Primary Owner: GROVER DEAN R FAMILY BYPASS Secondary Owner: Site Address: Mailing Address: 386 E 7TH N REXBURG Acreage: 2.52 GIS Square Feet: 78,616 GIS Acres: 1.805 Total Value: $1,484 Year Inspected: 2016 Last Year's Taxes: $23.54 Current Year's Taxes: $25.40 Tax amounts are approximate values, to get accurate values contact Madison County Treasurer's Office (208)359-6264. Legal Description: REXBURG CITY ACREAGE PARCEL #6391 FROM S2 SW4 SW4 LESS A PORTION OF TAX 145 & TAX 139 ID 83440 Report generated: 3/19/2018 10:15:40 AM 1 1000 1 1007 Irrigated Agricultural Land Irrigated Agricultural Land Deed Number: 182569 267888 388155 Assessment values are approximate, to get accurate values contact the Madison County Assessor's Office (208) 359-6243. 2.520 $1,074 0.000 $410 Total Value: $1,484 This map Is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. ALLIANCE TITLE & ESCROW P.O. BOX 732 REXBURG, ID 83440 WARRANTY DEED Microfile No. 388155 2 DAY Apr 2014 At 12 O'Clock 08 P KIM H. MUIR Fee MADISON CO REUORDER Reconlsbacher Deputy Recorded at Request of ALLIANCE TITLE - REXBURG OFFICE Alliance Title & Escrow Corp. Order No.219626 FOR VALUE RECEIVED Val Grover, Steven Grover and Michelle Steel, as Co -Personal Representatives of The Estate of Lois W. Grover aka Lois M. Grover, deceased the grantor(s), do(es) hereby grant, bargain, sell and convey unto Dean R. Grover Family Bypass Trust whose current address is 386 E 7" N Rexburg, ID 83440 the grantee(s), the following described premises, in Madison County, Idaho, TO WIT: PARCEL 1: Commencing at a point that is South 89931'43" West, 2662.50 feet from the Southeast corner of Section 17, Township 6 North, Range 40 East, Boise Meridian, Madison County Idaho; thence North 00907'54" West 661.47 feet; thence South 89935122" West 1329.36 feet; thence South 00901'52" West, 662.89 feet; thence North 89031'43" East 1331.26 feet to the point of beginning. LESS AND EXCEPTING: A parcel of land in the South half of the Southeast quarter of the Southwest quarter, Section 17, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho being more particularly described as follows: Commencing at the South quarter corner of said Section 17; thence along the South line of the Southwest quarter South 89931'38" West for 320.63 feet to a point; thence leaving said South line North 00001'34" East for 50.00 feet to a %" rebar and cap on the North boundary of a road casement and the TRUE POINT OF BEGINNING; thence continuing North 00901134" East for 395.07 feet to a''/:" rebar and cap; thence South 89032'14" West for 421.62 feet to a %:" rebar and cap at a point of curvature; thence along a curve to the left with length of 31.25 feet, radius of 20.00 feet, delta of 89930'39", tangent of 19.83 feet, chord of 28.16 feet and chord bearing of South 44046'54" West to a %" rebar and cap; thence South 00901'34" West for 355.14 feet to a '''A" rebar and cap at a point of curvature; thence along a curve to the left with length of 31.59 feet, radius of 20.00 feet, delta of 90929'5611, tangent of 20.17 feet, chord of 28.41 feet and chord bearing of South 45013'24" East to a %" rebar and cap on the North boundary of a road casement; thence North 89931'38" East along said road easement, parallel to the south line of the Southeast quarter of the Southwest quarter, for 421.27 feet to the True Point of Beginning. ALSO LESS AND EXCEPTING: A portion of the South half of the Southeast quarter of the Southwest quarter of Section 17, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho, more particularly described as follows: Commencing at the South quarter corner of said Section 17 thence proceeding along the south line of the Southwest quarter South 89931'38" West for 320.63 feet to the TRUE POINT OF BEGINNING; thence leaving said South line and proceeding North 00001'34" East for 50.00 feet to a %" rebar and cap; thence South 89931'38" West for 421.27 feet to a %" rebar and cap; thence South 00001134" West for 50.00 feet to a point on the South line of said Section 17; thence North 89931138" East along the South section line of said Section 17 for 421.27 feet to the true point of beginning. PARCEL 2; FiN No. 219626 388165 Commencing at a point 160 feet North of the Southeast corner of the Southwest quarter of the Southwest Quarter of Section 17, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho, and running thence North 500 feet; thence West 346.5 feet; thence South 660 feet to the South line of said Southwest quarter of the Southwest Quarter; thence East 264 feet; thence North 160 feet; thence East 82,5 feet to the point of beginning. LESS AND EXCEPTING: Beginning at a point that is North 89031'43" East 1212.80 feet along the section line from the Southwest corner of Section 17, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho, and running thence North 89031143" East 131.00 feet along the section line; thence North 00028'17" West 170.00 feet; thence SOUTH 89031'43" West 131.00 feet; thence South 00028'17" East 170,00 feet to the point of beginning. PARCEL3: Commencing at a point 346.5 feet West of the Southeast corner of the Southwest Quarter of the Southwest Quarter of Section 17, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho, and running thence West 216.5 feet; thence North 141 feet; thence West 62 feet; thence North 83 feet; thence West 15 feet; thence North 210 feet; thence East 293,5 feet; thence South 434 feet to the point of beginning. LESS AND EXCEPTING: Beginning at a point which is North 89031'43" East 976.80 feet along the section line from the Southwest corner of Section 17; Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho, and running thence North 330 feet; thence West 118 feel; thence South 330 feet; thence East 118 feet to the point of beginning. PARCEL 4: Commencing at a point that is North 89031'43" East, 498.43 feet of the Northwest corner of Section 20, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho; thence South 00014'15" East 624.00 feet; thence North 89031'43" East, 821.57 feet; thence South 00014'15" East, 370.00 feet; thence South 89031'43" West, 330 feet; thence South 000014'15" East, 287.00 feet; thence South 89031'43" West, 110.0 feet; thence South 412.20 feet to the centerline of the South Fork of the Teton River; thence along the centerline of said river with the approximate description of North 70032'37" East, 97.35 feet; thence South 74002'56" East, 680.00 feet; thence North 53032125" East, 119.04 feet to the lass point on the centerline of said river; thence North 1783.85 feet; thence South 89031143" West, 1228.26 feet to the point of beginning. LESS AND EXCEPTING: Commencing at a point which is 1369 feet East of the Northwest corner of Section 20, Township 6 North, Range 40 East, Boise Meridian, Madison County, Idaho, thence running South 238 feet; thence East 178 feet; thence North 238 feet; thence West 178 feet to the point of beginning. PARCEL 5: Lot 6 in Block 2 of the Potpourri Ranch, Inc., Estates Subdivision No. 1, Fremont County, Idaho, as per the recorded plat thereof. TO HAVE AND TO HOLD the said premises, with their appurtenances unto the said Grantee, heirs and assigns forever. And the said Grantor does hereby covenant to and with the said Grantee(s), that (s)he is/are the owner(s) in fee simple of said premises; that they are free from all encumbrances Except: Current Year Taxes, conditions, covenants, restrictions, reservations, easements, rights and rights of way, apparent or of record. File No. 219626 388165 And that (S)he will warrant and defend the same from all lawful claims whatsoever, Slaleof ) ss Countyof 1 On this /3 day of(T" in the year 0/'/ before me, the undersigned, a Notary Public in and for said state, personally appeared nameeknown or identified to me to be the person whose is subscribed to the foregomg instrumentas C •Personal Representative of the estate of Lois W Grover aka Lois M. Grover, and acknowledged to me that _ executed the same as Co -Personal Representative. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year in this certificate Rrst above written. Note Publ- for the state of `` y'py L Residing at: Commission Expires: ,2 U = i NOTARY'\ c t PUBLICf State of A•c cu t4 A 1 ss,pSrAJg pP \UP\X County of 2Y sc a nT I ��/Um.......,,,a\O\\N On this �S� day of1�, in the year It IA . before me, the undersigned, a Notary Public in and for said state, personally appeared �_�i,,, (` as known or Identified to me to be the person whose name is subscribed to the forcgoing instr mem as Co•Personal Represcmalive of the estate of Lois W. Craver aka Lois M, Grover, and acknowledged to me that h� \ac executed the same as CO•Nrsonal Representative. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year in this certificate first above written. SANDRA I. FELSMAN olery public for he State of Ys:L Notary Public-Arlaona Residing at: 11*1 \ Mancopa County 11,� Commission Expires: Iii My Comm. billns May 5, 2011 State of tAKS.s Iss, Countyof. tnwty I On this 31 day of MyrbA , in the year 7*14 , before me, [be undersigned, a Notary public in and for said state, personally appeared.�i teNalk S1t r known or identified to me to be the person whose name is subscribed to the foregoing instrument as Ca•Peraanal Representative of the estate of Lois W, Grover aka Lois M. Grover, and acknowledged to me that S Ke executed the same as Co-Personai Representative. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year in this certificate first above written. Notary Public for the Stele of '�aKSaS Residing at: Ilt2. (vvpwlVte't rB Commission Expires: low 2014 Filn No, 219626 NCiARVPUBUC-SnbdKereaa AMTT p, 8TEEL Nh lF2 bW I,�rw ! 388155 aMadison Cc Ay PairceH Report Parcel Number: RPRXBCA0176410 Primary Owner: SALVESEN DAVID Secondary Owner: SALVESEN SUSAN Site Address: 315 E 7th N Rexburg 83440 Mailing Address: 315 E 7TH N REXBURG ID 83440 Acreage: 0.9 GIS Square Feet: 38,945 GIS Acres: 0.894 Total Value: $202,934 Bedrooms: 5 Bathrooms: 2.50 Square Feet: 3,136 Year Built: 1998 Year Inspected: 2016 Last Year's Taxes: $1,743.96 Current Year's Taxes: $1,789.10 Tax amounts are approximate values, to get accurate values contact Madison County Treasurer's Office (208)359-6264. Legal Description: REXBURG CITY ACREAGE TAX 145 Report generated: 3/19/2018 10:16:01 AM HI Category TCA Description Acreage Value 20 1000 Residential Lot or Acreage 0.900 $15,817 20 1007 Residential Lot or Acreage 0.000 $14,183 41 1000 Improvements on Land 0.000 $159,470 Category 20 41 1007 Improvements on Land 0.000 $13,464 Category 20 Deed Number: 267888 Assessment values are approximate, to get accurate values contact the Madison County Assessor's Office (208) 359-6243. Total Value: $202,934 This map Is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. EPA ?x GIFT DEED THIS INDENTURE made the 27th day of August, 1`997, between lean R. Grover and Lois W. Orever, husband and wife, of 192 East 1000 North, Rexburg, County of Madison. State of Idaho, parties of the first part, and David and Susan Salvesen, husband and wife, of 585 Angela, Rexburg, Idaho, parties of the second part. k WITNESSETH; ' - That the said parties of the first part, for and in consideration of their love and affection, do by these presents, give, convey and confirm unto the said parties of the second part, and for their heirs and assigns forever, the certain property lying and being in Madison County, State of Idaho, and described m follows, to -wit: Beginning at a polntwhich is N 8'9°31'43" East 976:80 fact along the seeHon line from the southwest corner of Section 17; Township 6 N., Range 40 E.B.M., Madison County, Idaho, and running thence North 330 feet; thence West 118 feet; thence South 330 feet; thence East 118 feet to the point of beginning. TO fiAVE AND TO HOLD all singular the said premises, together with the rents, issues and profits thereof, and the tenements, hereditaments and appurtenances thereunto belonging or appertaining, unto the said parties of the second pan, and to their heirs and assigns forever. M WITNESS WHEREOF, the said parties of the first part have hereunto set their hands and seals the day and year first above written. sxmoIIsauaa Iss 26"7S8f3 _ cwnnwu t . 1 Miall:1'9 a�t7a1e'a� - rewrdH on Pan-Fea at(9etu a e ; Al IM /9�Lc /o -y -cif/ GIFT DEED q.p Dean R.. Crrover Lois (hover STATE OF Count of I On acid state, I and identifi aclmowledl GIFT DEI At IDPaacaonvevPRTted; Fw 11""2T wxv+A WHEN RECCRBED MAX T0: • BOR of Atlnvke [� py¢� 20/CI H I ilplwwlU SeM-C.— PA. Boa saw t ' 0.J iwA Pe12*uba ^7.9f Ua WIMOFTnlsrb�N STATE OF IDAHO ) Cnot Raid Neihar Aad St.. ss �� y County, of Madison ) $ �Mw tlOrM b 2268 N 1000 W 17y On this, —day of August,1997, before me, the undersigned, a Notary Public in and for Rt�•t9 Bann, lw anm.e In nPeymeM eM nbanaMlg, wn said state, personally appeared Dean R. Grover and Lots W. Grover, husband and wife, known 1 Wren mousand doers end n ( and idendficd tome to be the persons whose names are subscribed to the within instrument and a Gwen ogwa on �. acknowledged to me they executed the same. remnbymetenceatlwuanht To SECUIlE le Sooredwy Ne e ebnol rrlN Nenwr, N of Inel "d... of ns mHlWne e J Grerad eo�eNrebY lncw aCMl M nos N Public ,�:.aw... l• / RCSidtng at; yn(.e-pL..�-� y r - �. At A Point HIS F P 40 Fitt Boise I ! • .,,W.- My Commission Expires: P1>•r/9i •' p,l """ .,c.' North, ge Feet, TbM. wtss 208 FM' gy� tYtIY / j l•if: ;'4' •.ntll 110t t.nnewww rt'n r •, t ..' � .,,, tmemerAa neredaamarnt, ens I n . (' n'.": • l e.R : ^. F PeolAt ee&ee Imm or In erry ee letu ne,am w ner Ne'e,derne,ee eer Nrw J co,MInn Oeel end MJ wAn v aeaxilY for a ;;AA��,, YAflIABIF INTEREST RATER ... mwvvy ham nme.m.nm. mei t Te po1MtM veaeNy M Ne " I. To IneP Yla PeoPelb bqA debPN to be buAl thereon; ton MN Jlewe, ddinenae, rpUetl L To pry ENon dekgwA ' etwnbrvme,ImpelAlg Me n • ]. To k y J bJdYpe mel OdU . byW D000lm'6peM it by W. Dead of Trvn nes J it • Ber'elld+N r na IMemt may he,.byaawsMln "dnen asMlrr3a m Ioncioae NII ,Pv anY P( . pudWef a111H IMIW We oeb C To bterH My ALTbn d 1 - mw ens eaeneee, InclodI g d GIFT DEED s To Pw J oom, iw Po ne.WYlwluding, whnoN Amami 0.CyeeAw eM1J M, JIhoN IM pmpeM• T. To Pompey eM M per k� -�� 4. r E161d eW Mdli eOnt(Bt1 M\I r1b. P.p ... • pMomwnto W welch ngelea ns,oss,.twrJly to Won 1 T n , this Deed of im1 s 40..4of damned, With sl Neeson e dates such pAYnInsymnld,and Jsr bdebled(wsseeewed Sy Bela lk I. Affidavit of Legal Interest City of Rexburg Phone: 208.359.3020 35. N. 1,t E. www.rexburg.org Fax: 208.359.3022 State of Idaho County nofpM dison , I I, �� IAV I �l�d�l �ie�i✓\; , Name City Being first duly sworn upon oath, depose and say: Address �l State (If Applicant is also Owner of Record, skip to B) µEXBLq DoE w; CITY OF ° REXBURG CW— America's Family community A. That I am the record owner of the property described on the attached, and I rant my permission to: F3 0m, T'YO121e)n 13�G�tI2�.y.tnia Na y Address Re -Y- Li -V3 , lb 40 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/ i1 t day of \ 20 ature Subscribed and sworn to before me the day and year first above written. ,,011 F uNe��I " C�nti-1 � J 4Q•Q••••i'J'9•.�'Qi9�/sem' Notary Public ofa to a 00 : Residing at: NlojA ri✓1 C " 3 00 iii Qt �, �� My commission expires: OF 0 Ewl ( ■■■i:e:131303 aE§,mK0m �4��! \$(®9 / / \ 0� } 7 E } 'x :»� ^