HomeMy WebLinkAboutAffidavit of Legal Interest - Rexburg 12.11.25Affidavit of Legal Interest
Submit by 'E-mail City of Rexburg
35 North 11 East Phone: 208.359.3020
Rexburg, ID 83440 "`.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I Crt
F
Name
Tduho Fads
City
Being first duly sworn upon oath, depose and say:
A.
1 S 1'e8' t= . (7T'K 54V-c-e+
Address
7 D
State
(If Applicant is also Owner of Record, skip to B)
C I T Y OF
REXBURG
America's Wmily Community
That I am the record owner of the property described on the attached, and I grant my
permission to: Dan Zoldak 4694 W Jacquelyn Ave, Fresno, CA 93722
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 11T—S, dayof 20 ZSr
Signature
Subscribed and sworn to before me the day and year first above written.
aL
NNI30719LICHO 10/OB/2025
Notary Pubbc c I aho ��
Residing at: I C� ho ' j"1 lram%, � �j
My commission expires:/ 64P �202