HomeMy WebLinkAboutAffidavit - Ulrich (Lot 20)Affidavit of Legal Interest
Submit by E-mail I City of Rexburg
35 North Id East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I, Patrick Ulrich or Heidi E Ulrich
Name
Rexburg
City
1228 Stone Drive
Address
Idaho
State
CITY OF
REXBURG
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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
percussion 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.
3I" 20- cw
Dated this day of
Subscribed and sworn to before me the day and year first above written.
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Notary Public of Idaho
Residing at: I'Ao1 v
My commission expires: , % /-?e