HomeMy WebLinkAboutAFFIDAVIT - 20-00038 - 490 First American Cir - Rudd & CompanySubmit by E-mail
35 North IV East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
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Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
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Name
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City
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Address
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State
C I T U O P
REXBURG
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Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to: 24,ya !A4 M�e�R /2 V kpr/%19't/ n 6
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 oftheproperty which is the subject of the application.
Dated this 2 7 day oftl/12ytieDtY 20g2-6
Signanue
Subscribed and sworn to before me the day and year first above written.
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Notary Public of Idaho
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EXPIRES 124-2021 ; Residing at: 7TH �PAi 1S
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