HomeMy WebLinkAboutAFFIDAVIT - 21-00514 - Wight Subdivision - RPR6N40E175400 - Short PlatAffidavit of legal Interest
City of Rexburg
35 North 1,1 East
Rexburg, ID 83440
State of Idaho
County of Madison
I,
Name
City
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
Being first duly sworn upon oath, depose and say:
A.
Address
State
(If Applicant is also Owner of Record, skip to B)
El
C1 TY O F
REXBURG
Amends Family Commnrmy
That I am the record owner of the property described on the attached, and I grant my
permission to:
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 2 l day of C e r 20
. ��lature
Subscribed and sworn to before me the day and year first above written.
CYN 57 MERRILL
COMMISSION NO. 37875 Notary` c of Wali()
NOTARY PUBLIC
STATE OF IDAHO
[MY COMMISSkON EXPIRES (]410412426
Residing at: F
L �
My commission expires: `