HomeMy WebLinkAboutAFFIDAVIT -22-00310 - Mountain View Hospital Medical Plaza - 404 N 2nd E - SignSubtnit_ by E-Mal1
35 North ler East
Rexburg, ID 83440
Affidavit of legal Interest
City of Rexburg
State of Idaho
County of Madison
I, Dixie MUrphy
Name
IDaho Falls
City
Phone: 208.359.3020
www.rexburg.org Fox: 208.359.3022
2630 Legends Circle
Address
E
State
.� CITY OF
REXBURG
A»rrricui Paxnr7y C.ommunrtv
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: Kenyon Crouch on behalf of Sign Pro 2274 W Heritage Cir., Idaho Falls, ID 83402
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 4 day of May , 2022
Signature
Subscribed and sworn to before me the day and year first above written.
'aa CFrICiAL $EAL
STEPHAME WESCH
p • NOTA C • ARIZONA
r � �- •. G MARFiIcoPACOPA COUNTY
`a o" COMM # 543719
My Comm. Expires May 23, 202.2
My commission expires: ��