HomeMy WebLinkAboutAFFIDAVIT - Ryan Meikle - 22-00157 - Just 4 Kids Urgent Care - 1236 Bond Ave - SignAffidavit of Legal Interest
City of Rexburg
35 North 1,r East Phone: 208.359.3020
Rexburg, ID 83440 www,rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
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Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to: IS,!o-Tcumon W, fu S•Srofw• S�ry Zik? Al 14111,
Name Address LI'
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 7 day of /YA#,( -E , 20 ZZ
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Subscribed and sworn to before me
LRYAN B. MEIKLE
MISSION NO. 55516
OTARY PUBLIC
TATE OF IDAHO
SION EXPIRES 1212112027
and year first above written.
Notary Public of Idaho
Residing at: 60+^�
My commission expires: /A Z