HomeMy WebLinkAboutMontana Ave. Multi-Family_OwnerAckDocuSign Envelope ID: F20BB92B-CDDF-4IBE-B034-2C751288A582
Property Owner Acknowledgement
Jacob Booher
as 16566 Montana Ave. Caldwell Idaho
my permission to Studio H Architects
accompanying application(s) pertaining the that property.
the record owner for real property addressed
am aware of, in agreement with, and give
to submit the
1. 1 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. 1 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).
Dated this
20th
day of March
Docu5lpned Cy:
ub
398735421A59445
(Signature)
CERTIFICATE OF VERIFICATION
STATE OF IDAHO )
ss.
County of Canyon )
20 23
a Notary Public, do hereby certify that on this day of
2022, personally appeared before me known or identified to me
to be the person whose name is subscribed to the foreg ing instrument, who, being by me first duly
sworn, declared that she signed the foregoing document, and that the statements therein contained are
true.
W a4t;l �a�J
NOTARY PUBLIC FOR IDAHQ
Residing at I�7 �-
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