HomeMy WebLinkAboutAFFIDAVIT - 22-00715 - Riverwalk Condos - 4 Plex - Bldg 1Submit by E-mail
35 North W East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
C I T Y OF
REXBURG
OW —
Americai tinily Cammanay
I Bron Leatham 2535 Little Town Drive
Name Address
Rexburg ID
City 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: Scan page 2428 LiWe Town Drive Rexburg, ID 83440
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 22 day of , 20 22
signatur
Subscribed and sworn to before me the day and year first above written.
!CS .... LISl ,ii��V Q
�O'Y P(/e�/c .• Notary Public of d ho pp
MY COMMISSION Residing J .
EXPIRES 1142022 ; - g at: �� /�! 6 p (A v�
qdill
p� �° y P A%1 ,P in b' P f- k5t Z0>-Z
�F OF l� 0��' M commission expires: