HomeMy WebLinkAboutAFFIDAVIT - 22-00669 -500 West Church Subdivision (BYU 10TH WARD) - University Blvd & S 5th W - PlatSubmit by E-mail
35 North l,t East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
I, Brian Hanley
Name
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
5pu- Lf)K-.e e(TY ,
City
CITY OF
REXBURG
AinriAPmnily Coninu nify
50 F Nml-t ie0b )i '2f
Address
Utah
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: Eagle Rock Engineering 1331 Fremont Ave, Idaho Falls, ID 83402
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 % T day of -TL , 20 Z 2 -
Signa re
Subscribed and sworn to before me the day and year first above written.
D. TODD EVANS
Public, State of Utah Notary Public of e O -C -4I4
[#NCtary
�a'6rrtt1118810n # 713439
My Cbmmission Expires On Residing at:
Septrsmber O6, 2o2a /
NIy commission expires: 0 9