HomeMy WebLinkAboutAFFIDAVITS - 21-00755 - Rexburg West Division I - Rezone all but Blk1 Lot1 from CBC to MUAffidavit of Legal Interest
City of Rexburg
35 North N East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison %j�'
I, A MY 61Yl i° c'm
Name
Ciiy - - - --(
CITY OF
MXBURG
Americ'a's /nmily Grmmunity
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Address
State
Being first duty sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I am the r c rd o�twne of kc pr p try described o pie attached, a I antmy,' `y
permission to: 1� (! � (�QLfr u 1 v iJ� 8i3W
Name Address
to submit the accompanying application pertaining to that property. -21— oo`155 kZDhe-`ID M u
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 ���� 20
Signa e
Subscribed and sworn to before me the day and year first above written.
E.Q DD
J
NOV i , 2021
CITY OF REXBURG
sty 'c I o
Rest ' gat:
ar I y,
Commission Expires 03-10-2024
My commission expires:
JANEL S. YOUNG
Notary Public
State of Idaho
Commission #14730
Affidavit of legal Interest ,<dBUq CITY OF
City of Rexburg
REXBURG
e bur, I''East Phone: 208.359.3020 Ame.imi Nm� cnnimnni
Rexburg, ID 83440 www.rexburg.org Fax: 208 359.3022
H ry
State of Idaho
County of Madison
I, rek M OcJSD
Name
City
Being first duly sworn upon oath, depose and say:
Address
M 8!) W4
State
(If Applicant is also Owner of Record, skip to B)
A. That I am the a or o n of e p o r descnb o e attached an graqt my
permission to: � �� n) f�JJp-
'Name Address -✓+'4.
to submit the accompanying application pertaining to that property. 21- 00-16S PeZByV- +0 M u
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 hich is the subject of the application.
Dated this f
20-?_
Subscribed and sworn to before me the day and year first above written.
JESSICAK'EBSTER
NOTARY PUBLIC • STATE OF IOMO
COMMISSION NUMBER 20190788
MY COMMISSION EXPIRES 4.192025
Notary Pub of Idaho��++,,,,
Residing at: l( "fl TUl II S
My commission expires: !�i `R - 2 Z5