HomeMy WebLinkAboutAFFIDAVIT - Mark Andrews - 22-00676 - Mountain West Rentals and Sales - SignSubmit by E-mail
35 North 15t East
Rexburg, 1D 83440
Affidavit of Legal Interest
State of Idaho
County of Madison
CIS- C
Name
City
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
Being first duly sworn upon oath, depose and say:
Address
State
(If Applicant is also Owner of Record, skip to B)
C I TY OF
REXBURG
�1n=criins Pnniilt� Carnnnnitti
A. That I am the rec owner of the property described on the attached, and I grant my
permission to: �� �/ - C7( /0�'
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 1 -- day of )k- , 20 l
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Moo
Residing at: C �>
My commission expires: 3.,�2 7