HomeMy WebLinkAboutAffidavit - Fochs (Lot 15)Submit by E-mail
35 North 10 East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
State of Idaho
County of Madison
Phone: 208.359.3020
www.rexburg.org Fax:208.359.3022
I, Kenton A Fochs or Maren Pauline Fochs 1278 Stone Drive
Name Address
CITY OF
REXBURG
Rexburg Idaho
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, sldp to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to: Mitchell Smedley 5624 Sorrel Dr, Pocatello, ID 83202
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.
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Dated this
.3
day of 220
4
S ature
Subscribed and sworn to before me the day and year first above written.
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