HomeMy WebLinkAboutRiver Bluff_FP_OwnerAckProperty Owner Acknowledgement
I,_____________________________________________ , _____________________________________
(Name) (Address)
_________________________________________, ___________________________________________
(City) (State)
being first duly sworn upon, oath, depose and say:
1.That I am the record owner, or authorized designee of the record owner of property located at
_____________________________________________________________________________,
(Address)
and I grant my permission to:
______________________________________, _______________________________________
(Name) (Address)
_______________________________________, ______________________________________
(City) (State)
to submit the accompanying application(s) pertaining to that property.
2. 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.
3. 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).
Dated this ______________ day of _______________________________________, 20______________
_____________________________________________
(Signature)
3121 Lincoln Rd, Caldwell, ID 83605
Mike Mussell P.O. Box 3304
Nampa Idaho
Mussell Construction P.O. Box 3304
Nampa Idaho
5TH JUNE 24