HomeMy WebLinkAboutAFFIDAVIT - Wade Hathaway 7.21.22 - 22-00522 - Carpet Direct - 2911 S Frontage Rd - SignSubmit by E-mail
35 North 13t East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg.org fax: 208.359.3022
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C IT Y OF
MXBURG
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Americas Family Community
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Name Address
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City State
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: '�3� — W Z S 1-3-5s:E nVI sz. so�a�wL zD �a3��k
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.
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Dated this 8 day of—�` Ly , 20 VLZ-
Subscribed and sworn to before me the day and year first above written.
ANGELA MORGAN
Notary publico ate Of 53772daho
Comm 29, 2026
my Comm. Expires December
oi'�9
Notary Publi o Idaho
Residing at:
My commission expires: ?. ZOZ