HomeMy WebLinkAboutAFFIDAVIT 9.14.22 - 22-00683 - Christensen Body Shop - 940 N 2nd E - Monument SignAffidavit of Legal Interest
City of Rexburg
35 North ix East Phone: 208.359.3020
Rexburg, ID 831/0 w...rexburg.org Fax:208.359.3022
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State of Idaho
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Name Address
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, strip to S)
A. That I em the record ownejj,,of the property described o�n �th.e� attached, and I grant my
permission to: S/cm 1"_0 .�.r_'a/ Gj. U.�:h
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees hamdess from any
claim or liability resulting from any dispute as to the statements contained herein or as m the
ownership of the property which is the subject of the application.
Dated this
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Sighe
Subscribed and sworn to before me the ay and year first above written.
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Notary Public of Idaho
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