HomeMy WebLinkAboutAFFIDAVIT - 23-00173 - Beehive Federal Credit UnionSubmit by E-mail
35 North 1st East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg.org Fox:208.359.3022
CITY OF
REXBURG
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I, Craig Gummow, on behalf of Beehive FCU 1087 Erikson
Name Address
Rexburg Idaho
City State
Being first duly sworn upon oath, depose and say:
(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: NBW Architects P.A 990 John Adams Parkway, Idaho Falls, Idaho 83403
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 day of IL 2 , 20 3
Signature
Subscribed and sworn to before me the day a ar first above written.
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EXPIRES 53-2027
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