HomeMy WebLinkAboutAffidavit - Cathy Hanna (1)Affidavit of Legal Interest
Submit by E-mail
35 North in East
Rexburg, 10 83440
State of Idaho
County of Madison
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax:208.359.3022
CITY OF
R MURG
Ameriw' Family Community
I Cathy Hanna (Heinz Family LLC, member) 850 E 7th N
Name Address
Rexburg Idaho
City State
Being first duly swom 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: 84—B. E 1P— Luba a car warn LLC (Mach Uo Wa'4 615 S Yellowstone Highway, Rexburg, to 83440
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 th application.
Dated this `, _ day of 20,,7 e�
Subscribed and sworn to before me the day and year first above written.
:ALISON
Notary Pac of Idaho
Residing at:
Commission Expires 11-30-2029
My commission expires: