HomeMy WebLinkAboutCougar Crossing_FP_OwnerAckAuthentisign lD: 331 AD37 2-4F 82-EE1 1-8925-60458DD68'1 61
Property Owner Acknowledgement
- Owner of,l, Joho McGrdwr pacific specialtv tnsurance co.,therecordownerforreal propertyaddressed
as 0 S Kcid Rd. (R.j524001000 & R35251 00000) ,am aware of, in agreement with, and give
my permission to KM Enq_rneerf n LLP.o.to submit the
accom panying 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).
Dated this
,13TH
day of NOVEMBER 2023
11 / 13 /23
(Signature)
STATE OF IDAHO
County of Canyon
CERTIFICATE OF VERI FICATION
ttlrlllrlrr,
) ss.
t t t, BilOV /lau*N , a Notary Public, do hereby certify that on tnis /tday ofNouattegR .2o2f, personally appeared before ," finu MCLfarUl , known or identified to me
to be the person whose name is subscribed to the foregoing instruffient, who, being by me first duly
sworn, declared that she signed the foregoing document, and that the statements therein contained are
true.
R IDAHO
ing at N
My Commission Expires
/-:aI!:ry.'o*lVUL.