HomeMy WebLinkAboutAFFIDAVIT (INCORRECT) - 22-00194 - Paul Mitchell The School - 557 Mariah Ave - SignSubmit by E-mail
35 North I St East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
151
CITY OF
REXBURG
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America's Family Community
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Name Address
Rexburg Idaho
City State
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: 208 Signs & Graphics 4105 E. 650 N., Unit 2, Rigby ID 83442
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 day of , 20 Z r
' Signature
Subscribed and sworn to before me the day and year first above written.
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