HomeMy WebLinkAboutAFFIDAVIT - 22-00564 - 297 E 7th N - Rezone from PF to MDR1Affidavit of legal Interest
City of Rexburg
35 North l'' East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
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Name Address
City
Being first duly sworn upon oath, depose and say:
State
( s� E
C I TY OF
REXBURG
America's Family Commwiily
(If Applicant is also Owner of Record, sldp to B)
A. That I am the record owner of the property described on the attached, and I grant m
permission to:e�'tL_n L-2- :ji,�C�.t_ 2`J-J;I Lz Q� ��u�,•t bT. Ke-X.Ltrr�j
Name Address
to submit the accompanying application pertaining to that property. 2i L+C, S� - Z��( E
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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 2�? day of X-71 vtics� , 20 22
Signature
Subscribed and sworn to before me the day and year first above written.
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Notfiry Public of Idaho
Residing at: L'C0 I—C-11
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My commission expires: Ll I � 1 2- %