HomeMy WebLinkAboutAFFIDAVIT - Sally Smith - 22-00208 - Rexburg Baby Swag - New Location - 56 E Main - SignAffidavit of Legal Interest
Submit by E-mail
35 North I`t East
Rexburg, ID 83440
State of Idaho
County of Madison
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City
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
CITY OF
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Amerimk Fwmil Cmmnunity
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State
Being fast duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, sldp to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to: /`�iD jq°y' rA i S 510 E MGI ✓)
Nime 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 (' h day of �r I l 200-),
Subscribed and sworn to before me the day and year first above written.
"mnrmnn,,, of uy Public of Idaho
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