HomeMy WebLinkAboutAFFIDAVIT - 22-00142 - University View - 649 S 2nd W - Condo PlatAffidavit of Legal Interest
City of Rexburg
35 North 75' East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3022
State of Idaho
County of Madison
M a M x-�-t>r
1
Name
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City
Address s
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State
C I TY o f
REXBURG
Americo Family Community
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to S)
A. That I am the record owner of the property described on the attached, and I grant my
permission to: __Yf� qe u e%: L rJ) `
Name Address
to submit the accompanying application pertaining to that property.
Q
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
Subscribed and sworn to before me the day and year first above written.
3ENIKA FISQ
o� mFr
4 Notary Public - State of Utahm.
= ComNo. 722907
r µy Cammissiort Expires on
.9+ ' Feb 7, 2026
"V
otaty Public gfMOP (ITWH
Residing at: 2 -LI N COLy\' j yq 'V -,J ipny 0 'J, `ULI W 09
My commission expires: 'V�0 -I , IOita _