HomeMy WebLinkAboutAFFIDAVIT - 22-00283 - Teton River Lofts - 24 Units - Bldg 2Submit by E-mail
35 North 1V East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
I Bron Leatham
Name
Rexburg
City
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
PO Box 38
Address
State
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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: Scott Page 280 E Lorene # 9201 Rexburg. ID 83440
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
26 of— I April 2022
Subscribed and sworn to before me thewy and yekr first bove written.
9
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,.o0YP�&i�;. �� Notary Public Idaho
MY CpMMiSSION - Residing at:
EXPIRES 1t�
My commission expires: A—("iNP Vs 1� 2r d �i 2-02-2—
Affidavit
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