HomeMy WebLinkAbout19-00752 & 19-00753 Affidavit of Legal Interest - Peterson MorganAffidavit of Legal Interest
City of Rexburg
35 North Is' East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
Being first duly sworn upon oath, depose and say:
ddress
State
(If Applicant is also Owner of Record, skip to B)
CITY O P
R.EX.BURG
America's Family Cormfunih,
A. That I am the r rd owne f thero erty described on the attached, and grant toy
permission t -7i
P11 50(�j j�; p t?2(
Nam Address
to submit the accompanying a plica pertanung 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 %�t day of�LE'%1 , 2011
Subscribed and sworn to before me the day and year first above written.
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-_rte
Notary Pubdaho
EmycoRYAN JENSEN
,
MISSION NO. 20190615 Re 'ding at:
NOTARY PUBLIC
STATE OF IDAHO
MISSION EXPIRES 03/18!25 My commission expires: