HomeMy WebLinkAboutAFFIDAVIT - 23-00855 - Titan Machinery - 95 Airport Rd - Wall SignsSubmit by E-mail
35 North 1,t East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg.org Fox:208.359.3022
LTTiicn/Y,cGkine�J/ .
Name
City
Being first duly sworn upon oath, depose and say:
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Address
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State
(If Applicant is also Owner of Record, slap to B)
C I T Y O F
REXBURG
America' Family Community
A. That I am the record owner of the property described on the att ched, and I grant my
permission to:-519/11AI"r-e- 5/!5:*L-f ,,73-'1
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 � IV'' day of ! V Q'�i� l If'la� , 20
tiignature l
Subscribed and sworn to before me the day and year first above written.
DZYEL A
filala�ry Public Notary Public of kl2ho
Slab of North Dakota
My Commbatori Expires Agri 29, 2026 Residing at: S 1 �y
My commission expires: TAao&�o