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35 North I �' East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
I, Andre Lortz, VP of Build for Maverilt Inc.
Name
Salt Lake Ci
City
Address
UTAH
State
C I TY OF
REXBURG
America's Fandly Community
185 S. State St. STE 800
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 m
permission to: Austin Cope, YESCO representative 1605 S. Gramercy Road; Salt Lake City, UT 84104
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 26th day of _ April $ 20 23
S roiawr
Subscribed and sworn to before me the day and year first above written.
h UTAHNA M, ARCHULETA
Notary Public
i State of Utah
My Commission Expires January 28, 2024 Notary Public ofd LC ¢-% A
Commission Number 709765
Residing at: b R df S 47,-A /-Y
My commission expires: L _