HomeMy WebLinkAboutOwnerAck_Freedom 50_v1PROPERTY OWII-ER ACKNOWLEDGEMENT
COMMUNITY DEVELOPMENT - PLANNING & ZONING - 205 S 6THAVE, CALDWELL ID
,l D , the recorded owner for real property addressed
AS ti rrD L/nnor-, Suite #__,
/'Ltl! ( itD;. L(c.State /O zip {366-am aware of; in agreement with,
and give my permission to 'TSt .* ffil?A . to submit the
accompanying appl ication(s) pertainin g to thi s property.
1. I agree to indemni$, 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 staffto enter the subject property for the pu{pose of site
inspection(s) related to processing said application(s).
Dated this /off day of 20zq*
(Signature)
CERTIFICATE OF VERIFICATION
STATE OF IDAHO )
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[,g;Be",r a Notary Public, do hereby certiff that on this
ilp-day of Oc*t b.e-v- , in the year, *o 9*S ,personally appeared before me
ilar.c cj fHI. /{E l:o ,.nknown 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 helshe/they signed the foregoing
document, and that the statements therein contained are true.H/H^ffi"-
Residing at Cr^^*r u n Q{^- ho
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NOTARY PUBLIC FOR ID
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