HomeMy WebLinkAboutAffadvit of Legal Interest - John Steiner (1)Affidavit of Legal Interest
City of Rexburg
35 North is+East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I� John Steiner 417 S. 12th Ave.
Name Address
Rexburg Idaho
City State
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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 am the record owner of the property described on the attached, and I grant my
permission to: Marco Diaz 10999 Birch Creek Road, South Jordan, UT 84095
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 % day of Z- 7-4 , 20 ZZ
Subscribed and sworn to before/fie the day and year first above written.
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