HomeMy WebLinkAboutAffidavit of Legal Interest (signed) (1)Submit by E-mail
35 North Ise East
Rexburg, ID 83440
Affidavit of legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg,org Fax:208.359.3022
CITY OF
REXBURG
OW
Ameriwd Family Community
I, Bryson K. Higley 980-B Pier View Dr.
Name Address
Idaho Falls Idaho
,
City State
Being first duly sworn 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:
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 1Z?I` day of -� �hhH�� , 20 2 0
Signature
Subscribed and sworn to before me the day and year first above written.
Nc lic of Idaho
RYAN A JAC ate of ; ; 40
Notary Public State of Idaho Residing at: ..l �G�
Commission Number 65940 -
My Commission Expires Jul f 5, 2027 My commission expires: