HomeMy WebLinkAboutTC Rexburg Affidavit of Legal Interest 03092026 (2)State of Idaho
County of Madison
I, __________________________________, ____________________________________
Name Address
____________________________________, ____________________________________
City State
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: __________________________ ______________________________
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 _____9th______________________ day of ____March_____________, 2026_______
_________________________________________________
Signature
Subscribed and sworn to before me the day and year first above written.
_______________________________________________
Notary Public of Idaho
Residing at: _______________________________
My commission expires: _____________________
35 North 1st East
Rexburg, ID 83440
Phone: 208.359.3020
Fax: 208.359.3022www.rexburg.org
Affidavit of Legal Interest
City of Rexburg
_______________________
gnature
Submit by E-mail
TC Rexburg Investments LLC 1547 Harvard Avenue
Salt Lake City Utah
Knudsen Engineering 609 W Maple St, Pocatello, ID 83201