HomeMy WebLinkAboutAFFIDAVIT - - 22-00924 - Madison Middle School - 575 W 7th S - SignAffidavit of Legal Interest
City of Rexburg
35 North N East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I, Blake Snedaker, Business Manager, 60 W Main St
Name Address
Rexburg ID_
City State
Being first duly sworn upon oath, depose and say:
C IT Y OF
REXBURG
Ameacoi Awu4; Community
(If Applicant is also Owner of Record, sldp 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 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 _19th day of _December -12022
Signature `-
Subscribed and sworn to before me the day and year first above written.
N1FER
\'�PAy P e��i Notary Public of Idaho
MY COMMISSION = -
EXPIRES 9-7-2024 = Residing at: i
co :;�•j� ' ��`� My commission expires:
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