HomeMy WebLinkAboutAFFIDAVIT - 22-00542 - We R Self Storage - 433 Airport Rd - SignAffidavit of Legal Interest
City of Rexburg
35 North N East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
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State of Idaho
County of Madison / C,e
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Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, slip to B)
A. That I am the record owof the property described on the attached, and I grant my
permission to:cS\qYi 1 via 1AY1Calrta,�
Name 1pe�jexl 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
o.,f the property which is the subject of the application.
Dated this O� ul �� j� 0�� Z day of L. � , 20 Z
Subscribed and sworn to before me the day and year first above written.
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My commission expires: -2 l l 3 -7