HomeMy WebLinkAboutAFFIDAVIT - 21-01033 - Corcoran - 358 S 3rd W - Rezone from CBC to HDR1-Affidavit of Legal Interest
u
mit by City of Rexburg
35 North a11 Cost Phone. 2 .359, 30,x.0
Rexburg 0 8344 www-A--xbvrg. org Fow 208.3,59.J022
State of Idaho
County of Madison
# Patrick Corcoran
Nie
onor-a
City
Biting first duly -wom upon oath, deport and say:
A.
�Aa
C I TY OF
g..
RUR
a�a +, .. V •i r3fif P� rJ.S 1��1!P i �'���Pt MT�PFJ� C�
20120 Chipmunk. Rd.
C
State
(If Applicant is also Ovmer of Record, aide to B
That I am the record awncr of the property dcscribcd on the at churl, and I grant my
pernni s sion. to, oaren Wardell 19802 Via Redonda Rd, Sonor$ CA 95370
INIMe
Address
to ,cul -in -iii the accurnpan�in application pertaining rn that property.
B. 1 agrce to jndc nify defend and fold Re,.Kbu-rg Cit, and its crnpinyeeq harmless goon any
claim or liability resulting from any di�p�ite a� to the statements containe.d 1,e.rcin r)r gS to rhu
owncr hlp of the property wbieh is the subject of the application.
Dated tivs 30, day. of o �
el
i ;atILTU
Subscribed and sworn to before me the day and yearfirst above written.
tA2ry Pubbc of Idaho
I es din at;
Y commission expires
A notary public or other officer completing this certificate
verifies only the identity of the individual h c signed the
document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that dccumerit.
State of Califc rnie
County of Tuolumne
Su bs cribed a rid SWDrn to (or affirmed) before me on tb i 5 30 da y of D ecam b e r, 20 2 1, by
Patrick Corcoran,
proved to ne on the basis of satisfactory evidence to Ue the pers o n(s) who appeared before rrhe.
Sig natu re
R. KAMNA
TuoLuGr m County r
f Or m�ssl�rn 2296963
l xW Comm €xDire5 Apr 29, 2,021