HomeMy WebLinkAboutAFFIDAVIT 2 - Scott Page - 22-00413 - TETON RIVER LOFTS - Phase 1 - 311 E Lorene St - Condo Plat OnlyAffidavit of Legal Interest
City of Rexburg
35 North 1,1 East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I, -.- i.'EAt'HAr1 ,
Name
i2 �x3u2�
City
Being first duly sworn upon oath, depose and say:
CITY of
ITYYofy+
Am+rricni Fnm71y Gommunlry
2,536 L/?'iLC
Address
1D
State
(If Applicant is also Owner of Record, skip to B)
A. That I am the record owner of the roperty described on the attached, and I grant my
permission to: -!S - Soo TT— 2 4 Z Lt-t-I-er TCD60N P*;_>
Name Address 2✓Exa�=q, tP 83440
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 "Z-' rlsg of 4 tee. ��s ; 20 Z2
Subscribed and sworn to before me
W COMMISSION
EXPWS 114=
day/nd y Jar first above written.
OJAKL.50 A .
Notary Public Idaho
Residing at: IA SOLI . Cp .
My commission expires: +4 202-2