HomeMy WebLinkAboutAffidavit - Sally Heinz (2)Submit by E-mail
35 North 1,1 East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
I Sally Heinz
Name
Rexburg
City
Phone: 208.359.3020
wwwxexburg.org Fax: 208.359.3022
Being first duly sworn upon oath, depose and say:
1025 W 7th S
Address
Idaho
State
(If Applicant is also Owner of Record, skip to B)
C I T Y OF
RFMURG
.Ani,.M4 n ."ay Community
A. That I am the record owner of the property described on the attached, and I grant my
permission to: Stone's E*mss Luba 8 Car Wash LLC (Mitch LowlaM) 615 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
'9 of the property which is the subject of the
application.
Dated this �751C/ day o£ ~ I` �/ (J — 20 �5
Subscribed and sworn to before me the day and year first a5ove written.
NAB'
ALISON BANTA Notary Public of Idaho
Notary Public
State of Idaho Residing at: R@Siding in Rr n..aL._ -
Commission'421444 Commission Ex -ir 029
My commission expires:
Docusign Envelope ID: 90B86FE3-BA50-4695-ADBF-28EE1741EB1B
EXHIBITA
Legal Description of Property
Parcel RPRXBCA0362420
Owner: Sally Heinz
Legal: Rexburg City Acreage Tax 124, Madison County, Idaho
EXHIBITA Buyer's Initials �� (_) Seller's Initials