HomeMy WebLinkAboutAffidavit - Linda Jo Larsen (1)Affidavit of Legal Interest
City of Rexburg
35 North Is' East Phone: 208.359,3020
Rexburg, ID 83440 www.rexburg.org Fox: 208,359,3022
State of Idaho
County of Madison
I� Linda Jo Larsen (Heinz Family LLC, member)
Name
376 Pioneer Road
Address
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Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, skip to B)
A. That I any. the record owner of the property described on the attached, and I grant my
permission to: stone's Express Luba & Car Wash LLC (Mltoh Loveland) 616 S Yellowstone Highway, Rexburg, ID 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 the application.
25th November 25
Dated this day of , 20
LULU Jo Larsen mmrauv
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Signature
Subscribed and sworn to before me the day and year first above written,
_ ASHLEE CoEsy
Notary Public State or Utah
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QHnm Number,792487
Online Notary Public. This notarial act Involved
the use of online audio/video communication
technology. Notarization facilitated by SIGNM
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Notary Public of Idaho
Residing at: _ _Logan, UT
4/10/29
My commission expires:
Docusign Envelope ID: 064EBOFB-003E-40AC-A226-F1268ABF3447
EXHIBIT A
Legal Description of Property
Parcel RPRXBCA0362416
Owner: Heinz Family LLC
Owner: Don Heinz
Legal: Rexburg City Acreage N2 Nw4 Less Tax 42 & W2 Tax 46; less Tax 124, 726 West of Hwy, Madison County, Idaho
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EXHIBIT A Buyer's Initials �) ( ) Seller's Initials (Z) ( E& ) 6�