HomeMy WebLinkAboutAffidavit of legal interest - 25-00999 - Juniper Commons (2)Submit by E-mail
35 North l,' East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Name
City
Phone: 208.359.3020
www.rexburg.org Fax:208.359.3022
Address
State
C IT Y OF
REXBURG
................ OW . _ .
Aine:iaA Family Conmauniiy
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, slap to B)
A. That I am the record own r of the roperty d��
{escribed on the attached, and I grant _
permission to: ��e� c�S5�:�� `�� �g� `�T-leGw,
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.
Jo
Dated this 3D day of � , 20 2-S
Subscribed and sworn to before me the day and year first above written.
ROSERT COob"MM N6ta ublic f Idaho
COMMISSION # 33000 / _
NOTARY PUBLIC Residingat: %1.515 38QD uQ
STATE OF IDAHO +'
MY COMMISSION EXPIRES 12/11/2029
My commission expires: