HomeMy WebLinkAboutAFFIDAVIT - 22-00059 - Java Espress��xet;g
Affidavit of LegalInterest i� f.., CITY T'• a F
........ ...........
...._.
U%1'#'iit ay T TRE-[CI�#l� City of Rexburg � PI G
35 North l,t East Phone: 208.359.3020 A>ra*irnxF+*r+riiyCommunity
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
I
State of Idaho
County of Madison
I, Dixie Murphy 2630 Legends Circle
Name Address
IDaho Falls IDaho
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: Shane Murphy P.O. Box 2363, Idaho Falls, ID
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 fg day of February 2022
WA
Signature
Subscribed and sworn to before me the day and year first above written.
.w s, FERNANDO E lAMORANO A
Notary Public - Arizona \ ouart• Public of-4da4T ki rz
?L Maricopa County
�5� �_/' Commission # 560132
\L•% My Comm. Expires Mar 12, 2023 Residing at: Phr�./�I ' X
My commission expires: l ac(, h 12, � o 23