HomeMy WebLinkAboutAFFIDAVIT & LLC PROOF OF OWNERSHIP - Bench Farms LLLP - 21-00623 - Rexburg 32 - RPRXBCA0014217 - Comp. Plan Map change to Commercial/Mixed UseSubmit by E-mail
35 North P1 East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
I, Richard Smith
Name
Rexburg
City
Phone: 208.359.3020
w .rexburg.org Fox: 208.359.3022
Being first duly sworn upon oath, depose and say:
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950 S Millhollow Rd.
Address
State
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R XBURG
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Amerind<Cwmily Commwrrty
(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: Krol Maosman 2775 Navigator Dc, Swte210, Meridian, ID 63642
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 day of J 4 20----'1—
Signature
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Subscribed and sworn to before me the day and year first above written.
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Residing at: 3u `aG✓l. CG 7
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