HomeMy WebLinkAboutAFFIDAVIT - 22-00042 - Brigham Mill Apartments - 431 S 3rd W - Condo PlatAFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO
SS
COUNTY OF Jefferson
I Gregory D Nelson 629 N 3510 E
Name Address
Menan Idaho Being first duly sworn upon
City State Oath, depose and say:
Being the owner of record of the property described on the attached sheet, I grant permission to:
EAGLE ROCK ENGINEERING 1331 Fremont Ave Idaho Falls, ID 83402
Name Address
To submit the following application pertaining to that property, check all that applies:
[ ] Preliminary Plat [ ] Planned Unit Development
[ ] Final Plat [ J Comprehensive Plan Map Amendment
[ ] Variance [ ] Annexation
[ ] Conditional Use Permit [ ] Rezone to
I agree to indemnify, defend and hold the City of Rexburg and its employees harmless from any claims to 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 18th day of January 20 22
Signature
SUBSCRIBED AND SWORN to before me the day and year first above written.
ky,
Notary Public for Idaho
Residing at
10871 N 39th E, Idaho Falls, ID 83401
My Commission Expires:
07/19/2027
Affidavit of Legal Interest page 1 of 1
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