HomeMy WebLinkAboutID1C057-S WM 1878_1450 Noth_affidavit_of_legal_interest_Executed by WMSubmit by E-mail
35 North i'l East
Rexburg, ID 83440
Affidavit of Legal Interest
City of Rexburg
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
State of Idaho
County of Madison
I, Whitney Cooper 814 Respect Drive
Name Address
Bentonville Arka
City State
1 1 1 1 a 1
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Amm,uu 1 noul} f. mmu oily
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: Shahzad Mahmood 1920 Wekiva Way, West Palm Beach, FL
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 15 day of April 2026
(Y �'
Signature
Subscribed and sworn to before me the day and year first above written.
A�
Notary Public off_
CAR MEEKS 1 '�
Notary Pubub lic-Arkansas Residing at: -(n c ��
Benton County ,
My Commission Expires 12.16.2036 �, / 5% ,
Commission R 00008791 My commission expires: