HomeMy WebLinkAboutAFFIDAVIT - 23-00376 - Java Espress - 565 N 2nd E - SignAffidavit of Legal Interest
Submit by g=tliai1- City of Rexburg
35 North Is' East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I, Dixie Murphy 2630 Legends Circle
Name Address
C l I Y o F
REXBURG
................
Ames as j lntf}• Cona wmw;
Idaho Falls 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: Shane Murphy DBA Java Espress 434 Gladstone, IDaho Falls, ID 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 25 day of June ) 2023
Signature
Subscribed and sworn to before me the day and year first above wri
Notary bfic of Idaho
Residing at: 0✓hCZ�G[/J
My commission expires: 2? Z