HomeMy WebLinkAboutAffidavit of Legal Interest_SignedAffidavit of Legal Interest
City of Rexburg
35 North Is' East
Rexburg, ID 83440
State of Idaho
County of Madison
I� Conner Ferney
Name
Rexbu
City
Phone: 208.359.3020
www.rexburg.org Fax:208.359.3022
Being first duly sworn upon oath, depose and say:
1087 Erikson Road
Address
Idaho
State
(If Applicant is also Owner of Record, skip to B)
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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 or as to the
ownership of the property which is the subject of the application.
Dated this July day of 11 , 2023
Signature
Subscribed and sworn to before me the day and year first above written.
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!Z�`\��,�' y PUB(�c •. ���� Notary Public of Idaho
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