HomeMy WebLinkAboutAFFIDAVIT HAROLD HARRIS - 20-00896 - 525,545,565,585 N 2nd E - East Town Acres Division No. 1 - Short PlatAffidavit of Legal Interest
city of Rexburg
3.5 North Iv East Phore:208.359.3020
Rexburg. d &U40 -WWW.rext;arrq,oFq Fox: 208.359,3022
State of Idaho
County of Madison
Namc
CI..C. 1 441 LLE
Chy
Being first duty sworn upon Grath, depose and say-
_.
Address
m ezJ!�
suit
(If Appfieavnt is also Owner of Record, skip to R)
-C: i r Y 0 F..
REXBURG
A. That I am the record q3Mer of the-pxopeny described on the attached,I grant my
rmn
peissioto: , EF 5 bE ! �' — %' 4.i
Vwm -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 comained herein or as to the
ownership of the property which is the subject of the application_
Dated this
Sigmruve
Subacdhed and sworn to before rue the clay and fear hest abovewyttm_ —
p— —
1��11i4itlllillrJr �� - - _
Nora-gbric of I o
We
Epip- 2�i 2t?26
�otf�����SaoN
��ltJl � i11 i i 11ititi��°`
Residing at f j V `r!y -1 %ri
My commission expires: � �' �