HomeMy WebLinkAboutAFFIDAVITS - 22-00086 - CB Shop Subdivision - 940 N 2nd E - Short PlatAffidavit of Legal Interest ,:,tr .r
Submit by E-mail City of Rexburg R XBURG
35 Norfh 1 -Eat Phone: 208.359.3020 :."�•�..�: �.•.i, ca.,����n
Rexburg. 108340 www.rexburg.org Fox 208.359.3022
State of Idaho
County of Madison
Name Addrew
City State
Being first duly swom upon oath, depose and say:
(If Applicant is also Owner of Record, sldp to B)
A. That I sm, the record oownnu of the propetry described on the a�ed, and I gmnt y
permission to: Nme n! ;¢/ $ESS a. /i)Igs , / Lit/ -
Name � Addtes9
to submit the accompanying application pertaining m that property.
B. I agree to indemnify, defend and hold Rexburg Qty 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 die subject of the application.
Dated this /7n day of REFu� _ 20 ZZ
SRre 1
Subscribed and sworn to before me the day and year first above written.
An��
Notary bt� lic of Idgho
Residing ac 40 6: 42 1 kti�
My commission expires: aha
Submit by E-mail
$,i N w1h 11, Eon'
914twoiqg r tii/lf
State of Id:rlu)
Countti of Madi.on
of legal Interest
City of Rexburg
Pt;erie 200 3V 3020
V/%W.re1KtLX9.c+r9 Fax: 2178 359.3022
1, TAit-D
N anw
Bctng :ins: duh• sworn upcyn u2 -,h, depose and sad.
Address
..A H10 —
State
PI\BLIZG
i� Tz -
(If Applicant is also 0 rier of Record, slip to B)
4 That I am the record owner of the napem• described on rile attached, an i i L -rant n.y
permission to:t,�
Name .Address
m s:sbrntt the accompanying application pet -raining to that pn)perh,.
b. I a-^ree to indeannifti,, defend and hold. Rcxburg Cin• and its cmployccs harmkss from any
claim or liahiLry restdong from any dispute as w the statements conLuned herein or ax to the
aanrrship of the propcm• which is the subject cif the application.
Dated this Owl' 174h _ diy of zAz)'
,gnature
Subscribed and sworn to before me the day and y- ar first abovc w-tiam.
—
JEFF FREIBERG _
COMMISSION NO. 48391 Rcsk Ping at: 2 b,4 f-1 v fi�LL 5
NOTARY PUBLIC
STATE OF IDAHO
[MY COMM W I O1`} EXP RES 01f18l25 Aly e�±ntnus>i�±n r�ptrt� 1 ,� Affidavit17-25-
--
Affidavit of Legal Interest
KSubmitby. E-mail, City of Rexburg
35 North Is' East one. 208.359.3020
Rexbijr , ID 83440 www.rexburg.c`g Fc -i'+,` 208,359.3022
I . ..... --------- ----- ... 11 ... .. . .............. .....................
State of Idaho
County of Madison
Name
Idaho Falls
City
2520 Channing Way
Address
... . ...... . . ...
Idaho 83404
State
Being first duly swornupon oatb, depose/ and say-
(�f Applicant is also Owmer of Record, sikip to B)
A,. That I atp-n the record. owner of thepropertyr described on the attached, .and'l grant m -v,-/
V Mon
Name A/,Jdress
to submit ffie accompanying application pertaining to that propertyr.
B. I acrr-ree to I*ndetrinif.v, defend an,(.4'. hold Rexburg Ciqr and its. emplovees harmless fram ativ
<;'.� I J
c.121morliabilivires-ul' lfrom. any dispute as to the statements, contained s. berel*.n or atoth---.e---
ting
ownership of the propem which. is the sub'ect of the application.
I/ I
/th February
Dated this day of 20
KATHY J 0 ELI A-"tvll S
Cot,jM�jsSION NO. 444.
DH 0 si
A
Subscfibed and sworn to before me to da
Gil Birdsong, COO Westma/k Credit Union
d -lmar first above wrikten4'
y Pubbc of
at:1 L 15
Cot nm "ill ex:pres