HomeMy WebLinkAboutAFFIDAVIT - 22-00520 - 742 Nina Drive - Rezone from LDR1 to MDR1Affidavit of Legal Interest C I T Y o f
Submit by E-mail City of RexburgRE"URoG
35 North I5' East Phone: 208.359.3020 Ameriau Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I, Wendv Heder
Name
Bexbura
City
Being first duly sworn upon oath, depose and say:
A.
742 Nina Dr.
Address
_Idaho
State
(If Applicant is also Owner of Record, skip to B)
That I am the record owner of the property described on the attached, and I grant my
permission to:
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 12 day of J U IV —,2o22
v
Signature
Subscribed and sworn to before me the day and year first above written.
4N.tary Public Z.f Idaho
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My commission expires: 6`� I `� Z6 2-7
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