HomeMy WebLinkAboutProperty Owner Acknowledge_HomeDepot_V1Property Owner Acknowledgment
I,_____________________________________________ , the recorded owner for real property
addressed as _____________________________________________________, Suite #_________,
City ______________________ State _________ Zip ____________, am aware of, in agreement with,
and give my permission to ________________________________________________, 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).
Dated this ______________ day of ______________________________________, 20______________
______________________________________
(Signature)
CERTIFICATE OF VERIFICATION
STATE OF IDAHO )
) ss.
County of Canyon )
I, __________________________________________, a Notary Public, do hereby certify that
on this ______ day of _______________, in the year ______, personally appeared before me
_________________________________, 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
he/she/they signed the foregoing document, and that the statements therein contained are true.
_______________________________
NOTARY PUBLIC FOR IDAHO
Residing at ______________________
My Commission Expires ___________________10/16/2027
Connie D. Rockwell
9 2024
Jessica Borgert
9 September 24
September
2455 Paces Ferry Rd. Atlanta, GA 30339