HomeMy WebLinkAboutAFFIDAVIT - 21-00624 -110 E Main St - KeyBank RemodelSubmit by E-mail
35 North I It East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 206.359.3020
www.rexburg.org Fax:208.359.3022
C I T Y ❑ F
REXBURG
ram,
Amejd&k Fam6y Community
I, G. Sherman Allen 3055 East Overland Road
Name Address
Meridian Idaho 83634
Citv. State
Being first duly sworn upon oath, depose and say:
(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: Kyler Kohler Ostermiller & Sorensen, LLP 15 South 1st East, Suite 200
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 AG day of 20 A
Signature
Subscribed and sworn to before me the day and year first above written.
Nota Public of Idaho
JAIME A. DE ANDA
Notary public, State of Idaho
Commission No. 3362$ Residing at:
Any Corn mission Expires morcn 22, 2024
My commission expires: