HomeMy WebLinkAboutAFFIDAVIT - 21-00084 - Robison AffidavitAffidavit of Legal Interest
City of Rexburg
35 North Is, East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
Cou of Madison
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Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, slip to B)
A. That 1 am the record owner of the property described on the attached, and Y grant my
permission to: Brent McFarland. JRW & Associates, PLLC 1152 Bond Ave. Rexburg, I®
Name Address
to submit the accompanying application pertaining to that property.
B. 1 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 02- day of , 20�
J�9 �11/4
Signature
Subscribed and sworn to before me the day and yew first above written.
SHAPNTAE L BAKER Notary Public of Idaho
NOTARY PUBLIC . STATE OF IDAHO
COMMI33IONMJMMR2020M Residing at: LA&im
W COMMISSION EVIRES 4$2026
My commission expires: 6