HomeMy WebLinkAboutWNC - Rexburg_Affidavit of Legal Interest - Winco, RexburgSubmit by E-mail
35 North Is' East
Rexburg, ID 83440
State of Idaho
Affidavit of legal Interest
Coun of Madison
Name
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax:208.359.3022
1.. a4� G,iCi,�t� ,
City
Being first duly sworn upon oath, depose and say:
Address
A �
State
(If Applicant is also Owner of Record, skip to B)
CITY OF
REUR
Amerieaas Fwnidy Cunzmunii),
A. That I am the record owner of the property described on the attached, and I grant my
permisslon to: Tait & Associates 815 E. Park Blvd., Ste, 201, Boise, ID 83712
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 f cbei l— e, rr- , 201'� .
Subscribed and sworn to before me the day and year first above written.
Notary ublic of, Are—Z6 r
.res,T ASHLEEYWOLVERTON
Notary Public -Arizona Residing at: 7(sJi ors /"T
Gila County
yr` Comm.Commission # 62323, ��
9'1 My m, Expires Mar 23, 2026 My commission expires: �"�tac r 4� c