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AFFIDAVIT - 18-00534 - Thomson Farms 2 Story - New MFR
REXBURG Americo Family nmununil� Building Safety Department Affidavit of Legal Interest State of Utah County of Utah I, RS17 Rexburg Preferred LLC 160 W Canyon Crest Dr. Suite 3 Name Address Alpine City Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) Utah State City of Rexburg 35 North 1St East Rexburg, Idaho 83440 A. That I am the record owner of the property described on the attached, and I grant my permission to: Joel Bringhurst, Urban Design Group; and Cory Fergusoncould Plus Architects 427 West 11950 South, #201, Draper, UT 84020 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 3rd day of July , 20 18 RS17 Rexburg Preferred LLC by its Manager RS17 Rexburg Manager LLC Paulrin t,'1GIan ger Subscribed and sworn to before me the day and year first above written. MARJORY TAYLOR Notary Public State of Utah My Commission Expires on: `•� January 15, 2019 Notary Public Comm. Number. 680822 Residing at: <�- Ai -'f LA-1!�- My commission expires: Q t Sl `©) Inspection Hotline - (208) 372.2344 www.mburg,org Penniffechimum - (208) 372.2341 Revised 10, 2016