HomeMy WebLinkAboutAffidavit of interest - 396 W. MoodyS-ubnlit Oy S7
35North IstE'ost
Rexburg, 1D 83440
Affidavit of Legal Wcrest
State of Idaho
County of Madison
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fox:208.359.3022
I Mary G. Shirley Irrevocable Trust
Name
Rexburg
City
396 West Moody Road
Address
LN
State
CITY O P
REXBURG
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rLneric4 r-amity Community
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 grant my
permission to: U13G Corp 10999 S. Birch Creek Rd., South Jordan UT 84095
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harruless 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.
5-
Dated this e"" "r' day of _ March 2025
Subscribed and sworn to before me the day and year first above written.
ALISON BANTA
Notary Public
Staie of Idaho
Cowriission #21444
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Notary Public of I aho
Residing at- Residing in St Apthony, a
Commission Expires 11-30-2029
My commission expires:
Subrn�t `by E-mai.l�
35 North 1V East
Rexburg, ID 83440
Affidavit of LegaB Interest
State of Idaho
County of Madison
City of Rexburg
Phone: 208,359.3020
www.rexburg.org Fax:208.359.3022
I, Mary G. Shirley (Irrevocable/Trust
Name�✓G���
Rexburg/ f
City
Being first duly sworn upon oath, depose and say:
396 West Moody Road
Address
a
State
C I T Y o f
REXBURG
C1Y
Amedr,6 Family Conn+unmy
(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 grant my
permission to: UDG Corp 10999 S. Birch Creek Rd., South Jordan UT 84095
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexbutg City and its employees hamaless 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 S day of March 2025
Subscribed and sworn to before me the -Hay and year first above written.
ALISON BANTP
Notary public
state of Idaho
co,»,nission #2144-
Notary Public 6fIdaho v
Residing in St. Anthony, ID
Residing at: Commission Expires 11-30-2029_
My commission expires: