HomeMy WebLinkAboutLoveland Commons_Affidavit of Legal Interest_111225Submit by E-mail
35 North Isr East
Rexburg, ID 83440
Affidavit of Legal Interest
State of Idaho
County of Madison
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax:208.359.3022
I, /G1' L U� Z�C ,
Name
City
Being first duly sworn upon oath, depose and say:
Address
State
O�QF.XBURC
vs�
C IT Y OF
REXBURG
Cw—
America's Family Community
(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: ,4 Sty 26CK gEv4 l,v qj b /?-c t Ferc,N, o v Are;.
Name Address Ib T'3%4v Z
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 / Z Z_-a
day ofkf-k►►-r3&-� , 207�--
Subscribed and sworn to before me the day and year first above written.
=JFUHRIMANN Notary Public of Idaho
6NOTRY Residing at:5 2 031
My commission expires: ex ) 2-r—Z-3 �