HomeMy WebLinkAboutAFFIDAVIT 5.13.22 - 22-00310 - Mountain View Hospital Medical Plaza - 404 N 2nd E - SignI SU6M!t by E-ma11
35 North Ist East
Rexburg, ID 83440
Affidavit of legal Interest
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
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Name
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City
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35 -IN , y0oV.,
Address
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State
CITY of
REXBURG
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Americds Family',Comrnunity
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 13 � day of k
Signature
Subscribed and sworn to before me the day
NOTARY PUBLIC
Jenny Castillo
` X7106
My (.'ommission Expires
04/25/2025
STATE OF UTAF3
year first above written.
Nothiy P�bhc of ,J. *b i}3p-o
Residing at: r0�
My commission expires: U