HomeMy WebLinkAboutscan0006Affidavit of Legal Interest o<°"'° Q CITY OF
City of Rexburg ; PXXB RG
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35 North is East Phone: 208.359.3020 amenmi Pm,ay�mm��ny
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
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Being first duly swom 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: Sign Pro 2274 W. Heritage Cir., Idaho Falls ID 83402
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 of as to the
ownership of the property which is the subject of the application.
Dated this �(� � day of ' I .20 _
s�at�° DBFF- asslc � , ANC W�rw��5
Subscribed and sworn to before me the day and year fast above written.
Notary Public of Idaho
Residing at:
My commission expires: