HomeMy WebLinkAboutAFFIDAVIT - 22-00911 - SureStay Plus - 885 W Main St - SignAffidavit of Legal Interest
City of Rexburg
35 North 1/, East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
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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: Sign Pro 2274 W. Heritage Cir., Idaho Falls ID 83402
Name Address
to submit the accompanying application pertaining to that propem/
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.
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Dated this day of Dee49 4+ -
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Subscribed and sworn to before me the day and year first above written.
Nu[an' Public of ldxi+r, A40„ /a n ca
roe WL" HOOGSON Residing at: Wto-s+ / e l J0Lu3Jbn e
NOTARY PUBLIC forme
Stale of Montana
SEAL RrsdugalWesiyelow re,MoMa�a Nf commission expires: Mgry�Z{ Z--—
My Commission Fires
May 22.2024