HomeMy WebLinkAboutAFFIDAVIT OF LEGAL INTEREST - 20-00052 - Beehive Credit Union - Lot SplitFEB 1 1 2020
35 North 19 Eost
Rexburg, ID 83440
State of Idaho
County of Madison
of Legal Interest
Phone: 208.359.3020
www.rexburg.org Fox 208.359.3022
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Name
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City
Being first duly sworn upon oath, depose and say:
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State
(If Applicant is also Owner of Record, skip to B)
A. That I am the record owner of the p o rty described on the attached, and I grant my
permission to: YJ[' P.I�I j-Vb FPdeL � M� Un%bvi �.Y�+rn (—' U rK oD W
Narne 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 day of t C } 4GCV 20_
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�Signatute
Subscribed and sworn to before me the day and year first above written.
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Residingat l�tfy,�,_AL- CtionT)l
My commission expires: Pi LZ Z J 70 23