Loading...
HomeMy WebLinkAboutRuss Squires Signed & Notorized AffidavitSubmit by E-mail 35 North Izt East Rexburg, ID 83440 Affidavit of legal lnteaTst City of Rexburg State of Idaho County of Madison Nage atgj Phone: 208.359.3020 www,rexburg.org Fox: 203.359.3022 VD. --I l ,, Address State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, ship to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Y -`e7 Ir, r t-1 �t Liam" l- ` 4-J L- # ii tn!_ l t[�• Dame Address to submit the accompanying application pertaining to that property, `3 B. i agree to indcrnnif ,, defend and hold Rexburg City and its employees harmless from any claim or liability, resultino- 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 ofz 1 ?(} — Signature Subscribed and s-vvorn to before me the day and year first above written. OFFICIAL SEAL o e Ashley Marie Bertram NOTARY PUBLIC . ARIZONA. FINAL COUNTY COMM # 594272 My Gomm. Expires p) c mber 6.2024 ZMy commission expires:_ Msk