HomeMy WebLinkAboutAFFIDAVIT - 23-00010 - Cross Charitable Foundation - 885 W Main St - PlatSubmit by E-mail
35 North Ist East
Rexburg, ID 83440
Affidavit of Legal Interest
State of Idaho
County of Madison
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
I John R Clark obo Cross Charitable Foundation
Name
855 W Main St
Address
C I TY OF
REXBURG
America's Family Community
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: Jeff Rowe, Teton View Surveying 2847 E 700 N, St Anthony, ID 83445
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 3 day of January 2023
_Johv\, Cl,ari'z
Signature
Subscribed and sworn to before me the day and year first above written.
`�� %111111111111
�\�N� p\JK L H0,
;% rl�Z� 1'7�
P(/�iNotary 691Tc of Idaho
• W COMMISSION t _ Residing at:'
EXPIRES 1-9-2D27 —
�+,,_ My commission expires:
`�lillllli11111��