HomeMy WebLinkAboutAFFIDAVIT - 22-00788 - Madison Station Apartments - Trejo St - Lot Line AdjState of Idaho County of Madison
I, __________________________________, ____________________________________ Name Address
____________________________________, ____________________________________ 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 an agent for the property described on the attached, and I grant mypermission to: __________________________ ______________________________
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 ___________________________ day of _______________________, 20_________
_________________________________________________ Signature
35 North 1st East Rexburg, ID 83440 Phone: 208.359.3020 Fax: 208.359.3022 www.rexburg.org
Affidavit of Legal Interest
City of Rexburg
October