HomeMy WebLinkAboutAFFIDAVIT - Julie Saurey - 22-00089 Hill - 2029 S 3000 W - Lot Split & Line Adjustment - Impact AreaAffidavit of Legal Interest ;a pcxeuq o CITY OF
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City of Rexburg �„ o REXBURG
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35 North h1 East Phone: 208.359.3020 Americo randy Community
Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3022
State of Idaho
County of Madison
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Name
City
Being first duly sworn upon oath, depose and say:
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Address
State
(If Applicant is also Owner of Record, sldp to B)
A. That I am the rec,or owner of the property described on the attached, and I grant my
permission to: J� � Qa „fie 2g `{7 e 70s N. 5% :1
Name Address -53gll
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 day of --eb 20 Z2
Subscribed and sworn to before me the day and year first above written.
LYNDA MERRILL
COMMISSION N0.37875
NOTARY PUBLIC
STATE OF IDAHO
- MY COMMISSION EXPIRES 04/04/2028
My commission expires: � - %/- z 1'n