HomeMy WebLinkAboutAFFIDAVIT - 22-00033 - Teton Vu - 1114 N Yellowstone - Comp Plan Map change to LDR1-MDR10 E00 1/6/2022 1:06 PM
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FROM: O.ffi.CeMax #6579 P. 1 / 1
Affidavit of legal Interest
-Submit by E -Mai City of Rexburg
35 North 10 East Pnone: 208 359 3020
Rexburg. ID 83440 www.rexburg.org Fox: 208.359,3022
State of Idaho
County of Madison
I,Tharnas it. Goe
Name
Rexhurp
City
Being first duly sworn upon oath, depose and say
1771 Eeal 100 North
Address
Idaho
State
oy,:iau�,
a C 17 Y OF
REXBURG
Anu-= , rumUy Gmmuniq
(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: Mat -haw a: rd 4980 River_ Bend Ln. Idaho Falls, ID 83401
Name grad Brown Address 1708 E. 5550 S. Ste 18
to submit the accompanying application pertaining to that proper,. Ogden, UT 84403
B. I agree to indemnify, defend and hold Rexburg Cirp 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 6 day of January 2022
4f yxrsarurc W ---
Subscribed And tiWorn to befure me the day anti rear first above written
0V Y,
Nti�;ir} I'ul�licnFI�rtu.— 11V -f In
Residing at. 1
p: Nly commission expires: