HomeMy WebLinkAboutAFFIDAVIT - 22-00026 - 248 Ricks - Comp. Plan Map - LDR1-MDR1 to CommercialMixed UseAffidavit of Legal Interest j' Submit by E .. maH I City of Rexburg
35 North 1,1 East
Rexburg. ID 83440
State of Idaho
County of Madison
www.rexburg.org
' • 1-:-:: ,' Ii ::::>. ;, ,· •• d I, i...4 L 4 /f!l4c . S Jk1?a; t,
Nai-ne
Phone: 208.359.3020
Fax: 208.359.3022
Address
State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
ClfY ()I'
REXBURG
A.That I am the record owner of the property described on the attached, and I grant mypermission to: -------------
Name Addresg
to submit: the accompanyi.ng application pertaining to that property.
B.I agree to indemnify, defend and hold Rexburg City and its employees harmless from anyclaim or Jjability resulting from any dispute as to the statements contained herein or as to theownership of the property which is the subject of the application.
Dated this � .JM�day of / / --tb,_ , 20 ,22--.
Subscribed and sworn to before me the day and year first above written.
SEBASTIAN PLUMMER
Notary Public · State of Idaho
Commission Number 20214016
My Commission Expires Aug 23, 2027
Nota1y Public of Idaho
Residing at: __,_{..:..,_1/ _J_J_j_f<.(_i _} �..:.......O_J __
My commissjon expires: -..JAL-J.....,;u J+-_1-_J_,,_7.._0_Z_7 __ _
City of Rexburg 35 N 1st E, Rexburg, ID, 83440