HomeMy WebLinkAboutAFADAVIT OF LEGAL INTEREST - 22-00523 - Northwest Farm Credit Services - RemodelSubmit by E-mail
35 North 10 East
Rexburg, ID 83440
State of Idaho
Affidavit of Legal Interest
City of Rexburg
Phone:208,359.3020
www.rexburg.org Fax:208.359.3022
County of Madison l
I, n c-- a /a s -, m 1� G1
Name
LJ P,bAo
City
Being first duly swom upon oatb, depose and say:
OFH�RC
F b CITY OF
U O RM URG
AmaiwY Family Community
Zoo?
Address
State
(If Applicant is also Owner of Record, sldp to B)
A. That I am the reco d owner of e property, des ed on the attached, and I grant y
permission to: � r'�!� 4 et �u m re I ! U 36 �r f°r df cn n rx �e i
Name Address t--
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.
f� . �/
Dated this �day of r.� P� ,., AV � 20
Subscribed and sworn to before me the day and year first above written.
SSIN B•
!..• "'� Q� Notary Public of Idaho
N ,t
B
NOT� g Residing at:
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PUBLIC
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My commission expires: �/ 3���2�f