HomeMy WebLinkAboutProperty Owner Acknowledge HHI - useProperty Owner Acknowledgement
Hayden Homes ldaho, LLC , the record owner for real property addressed
as O I ll{(]nl Nl Rl-) Cel rrrall lF)am aware of, in agreement with, and give
my permission to Ardurra , to submit the
accompanying application(s) pertaining the that property.
1,. I agree to indemnify, defend and hold the City of Caldwell and its employees harmless from any
claim or liability resulting from any dispute as to the statement(s) contained herein or as to the
ownership of the property which is the subject of the application.
2. I hereby grant permission to City of Caldwell staff to enter the subject property for the purpose of
site inspection(s) related to processing said application(s).
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20 7-6Dated this /7 day of
(Signature)
CERTIFICATE OF VERIFICATION
srArE oF{Qfdto .36VEC&N ) ss.
Countv of Gan ron fl '' D4qh"'Set
. r, MiLtd\ 5rCip/4a Notary pubr
NJo\A€^ {b{/ffired before me
ic, do hereby certify that on tnis /?frday of
1ir.-,t ltX known or identified to me
to be the person whose name is subscribed to the foregoing instrument, who, being by me first duly
sworn, declared that she signed the foregoing document, and that the statements therein contained are
true.
NOTARY PUBLIC FOR .t4
Residing at
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OFFICIALSTAMP
MITCHELL GANES SCOFIEID
NOTARY PUBLIC.OREGOI{
coMMrssroN No.9952s4
MY COMMISSION EXPIRES JANUAFY 5, 2024
My Commission Expires [o',. *r 36'Ll