HomeMy WebLinkAboutAffidavit of leagal intrestSubmit by E-mail
35 North isi East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
I, Daniel A. Richardson
Name
Heber City
City
Ph one: 208.359.3020
www.rexburg.org Fax:208.359.3022
Being first duly sworn upon oath, depose and say:
4828 E 1250 S
Address
State
(If Applicant is also Owner of Record, skip to B)
C, rY 0
REXBURG
<u.
Ameried3 hundy C011mnnity
A. That I am the record owner of the property described on the attached, and I grant my
permission to: sign Pro 2z74 W Heritage Cir, Idaho Fars, w 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 or as to the
ownership of the property which is the subject of the application.
Dated this day of n i{ Al 13 , 20 �-2- 3
Signature
Subscribed and sworn to before me the day and year first above written.
CHELSEA BLAIR
Notary Public Notary Public of Wake 0 Ct h CpJ'
State Of Utah D
My Commission Expires 03-06 2024 Residing at (L ty
COMMISSION NO.710999 /
My commission expires: