HomeMy WebLinkAboutElevation Management Affidavit of legal interestAffidavit of Legal Interest
Submit City of Rexburg
35 North 1,: East Phone: 208.35 9.3020
Rexburg ID 83440 tiv vv i,r re xb urg. org Fax: 208.359.3022
State of Idaho
County of Madison
(b]
I � 1 � ( , !
REXBURG
1, Paul McKay Francis of Elevation Management, LLC 400 West Poleline Road
Name Address
Rexburg Idaho
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 arrant m\
permission to: Eagle Rock Engineering 1331 Fremont Ave, Idaho Falls, ID 83402
Name Address
to Submit the accompanying application pertaining to that pr(.-)pert-,.
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 C)-7 -1-e day of "1/ 20 Z5
Signature
Subscribed and sworn to before me the day and yca��above written.
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KURTIS J. ROLAND Notary Pub' of ldaKlio)
COMMISSION NO. 20215125
NOTARY PUBLIC
STATE OF IDAHO Residin, at:
V"FCOMMISSION EXPIRES 104261]=27
- - - - - INly commission expires: �