HomeMy WebLinkAboutAFFIDAVIT - Hill - 22-00089 - Hill - 2029 S 3000 W - Lot Line Adjustment - Impact AreaAffidavit of Legal Interest j Submit by E-mail I City of Rexburg
35 North 1 '' East
Rexburg, ID 83440
State of Idaho
County of Madison
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Name Si� Erdmnf City
www.rexburg.org
Being first duly sworn upon oath, depose and say:
Phone: 208.359.3020 Fax: 208.359.3022
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Address :Cb
State
(If Applicant is also Owner of Record, skip to B)
CITY OF
REXBURG ---.-..---
Americas Family Olmm11nity
LSlYJ G·
A.That I am the record owner of the property described on the attached, and I grant my
permission to: -------------
Name 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 __ fl _________ day of fi bruo...ry
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Signature
Subscribed and sworn to before me the day and year first above written.
LYNDA MERRILL COMMISSION NO. 37875 NOTARY PUBLIC STATE OF IDAHO MY COMMISSION EXPIRES 04/04/2026
My commission expires:
,20 22
Jeff Rowe 2847 E 700 N, St. Anthony, ID