HomeMy WebLinkAboutAFFIDAVIT OF LEGAL INTEREST - 20-00928 - 191 N 1st W - Rezone to HDR1Affidavit of Legal Interest
City of Rexburg
35 North 1st East Ph one: 208.359.3020
Rexburg, 1D 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I, A MC -s
Name
City
Being first duly sworn upon oath, depose and say:
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Address
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State
C I TY OF
REXBURG
CW
Americas Family Commurlity
(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:
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 sub)ect of the application.
Dated this %/ day of N1 , 20
Signature
Subscribed and sworn to before me the day and year first above written.
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0,V ,,�� Notary Public of Idaho
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•°° ° My commission expires: ZZ LD 7-3
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