HomeMy WebLinkAboutAFFIDAVIT - Main Street Investors LLC - P22-1015 - RPRRXB10371525 - Address for Temp PowerAffidavit of Legal Interest
City of Rexburg
35 North 15t East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I,
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Name Name
City
Address
T7:)
State
CITY OF
MXBURG
America's Family Community
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, strip to B)
A. That I am the record owner of the pro erty described on the attached, and I grant my
permission to: A -t E- t._l;FJ L—
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 1 �`TI— I day of )-/ , 20
M�t-i"C��2 _
Subscribed and sworn to before me/the day a d year first above written.
FJANEL S. YOUNG otary bh of Idaho
otary Publicate of Idaho Residing at:
mission #!4730
Residing in Sugar City, 1D
My commission expires: Commission Expires 03-10-2024