HomeMy WebLinkAboutAFFIDAVIT OF LEGAL INTEREST - 20-00338 & 20-00340 - 2003 S Yellowstone - Comp Plan Map ChangeAffidavit of Legal Interest
City of Rexburg
35 North Pt East Phone: 208.359.3020
Rexburg, fD 83440 www.rexburg.org Fox: 208.359.3022
State of Idaho
County of Madison
c I Ir y O F
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REXBURG
�Atra�ricu� Purrai� t;nrYt�ar�aaz'#�>
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Name Address
-/A/C, Ole. x' 34 J? "T
City State
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 rant my
permission to:'c� G�o� c: c /! Nt.J '`� S.�r'•-� Cho- �-,,,
Name Address " 7 ? / y"
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 %F _ day of 20 2-e'
Signature
Subscribed and sworn to before me the day and year first above written.
GEORGEBARRON
COMM NO. 28742
NOTARY PUBLIC
STATE OF IDAHO Nota 1 lic oIIdaho
MY COWSSION EXPIRES: JULY 27, 2022
Residing at:
My commission expires: 4-- P �?p i Q p 0