HomeMy WebLinkAboutAFFIDAVIT OF LEGAL INTEREST - SUNDANCE APT. PROPERTY - 266 W 3rd SAffidavit of Legal Interest
Submit by E-mail City of Rexburg
35 North 1-f East Phone: 208.359.3020
Rexburg, 1083440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
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Name
RE,.ai A t.
City
C I TY OF
REXBURG
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Amm.r Family Convmmity
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Address
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State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, sldp to B)
A. That I am the re ord owner of the property described on the attached, and I grant my
permission to: ��dQ t1�Cl`� W�'r�nyj 11,6Z $D HIS Arl/f
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 3 j day of 944C 14 200
Signature o
Subscribed and sworn to before me the day and year first above written.
Notary Pu 'c of Idaho
HEATHER LEA ERICKSON Residing at:
Notary Public
State of Idaho M _Residing in Idaho Falls, ID
commission efires:
Commission #50139 y (;Rmffli tun Expires 06-11-2025