HomeMy WebLinkAboutAFFIDAVIT - 22-00914 - Rexburg Teton (Bird Property) - 2nd E - Annex & Rezone from TAG to MDR2 & RR1 to CBCAffidavit of Legal Interest
Submit by E-mail
35 North Ist East
Rexburg, ID 83440
State of Idaho
County of Madison
I, Cynthia Anela Smith
Name
Rexburg 83440
City
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
A.
gEXBURC,'
U 0
CITY OF
REXBURG
CW
Americas Family Community
1002 North 2nd E. (RP06N40E187370 & RPRXBCA0187375)
Address
Idaho
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: Jeremy Westwood and/or assigns 170 North Holmes Idaho Falls, Idaho 83401
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. r
Dated this �C W�� day of O C 0 Ar , 20���
444� &(,&k
Signature
Subscribed and sworn to before me the day and year first above written.
DANIEL E MARTINEZ � r I
Notary Public, State of Nevada oal% l/ ` I/ l& �r04 2-
`
Appointment No. 22.2489.01 Nota Public of tp ^16114.404My Appt. Expires Apr 23, 2026 f r
Residing at: C L A/ k Ceyn E� , N U
My commission expires: Q `A M 11,01(n