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MAY-09-2003 10:58 P.03 <br /> 1 <br /> 0 <br /> Acknovs ted•ement of Conditions & Certification <br /> ting this approval,and without which the City <br /> would not do so, Applicant agrees <br /> As a material consideration to the City �d docs hereby indemnify and hold the City, its <br /> to and all claims, actions, <br /> is harmless rom and against any <br /> officers, employees and agcn Fat anytime from injury to or death of any <br /> demands, suits, losses or liability ability resultingerring or arising from this <br /> and or damage to any and all property occ <br /> app on l oresulting, 1ianC with any law, ordinance or regulation <br /> approval, or from any non-comp or resulting <br /> performance of approval granted herein, or otherwise arising the within <br /> respecting the F generality of the foregoing, <br /> from the approval panted. With limiting the g to rs and agency shall include by Applicant of City, its officers, crop � �� or proceeding, and <br /> id <br /> tion, demand, Cause of action, costs and <br /> saificatnon from any claim,llc and all attorney's fees, court <br /> said indemnification shall inn aall events include anyand <br /> of Applicant to appear in and <br /> other legal expenses, and shall include the obligation whether judicial, <br /> and all such claims, actions, or other legal proceedings Cith. its officers, <br /> defendu -J anyagainst or affecting <br /> quasi-judicial, &d�.re or otherwise, vas granted herein. <br /> employeesand agents arising out of or pertaining to the appro <br /> the City,its officers, employees damages causedsts <br /> This pangzaph dors not p��to ind�fyy <br /> for damages arising out of bodily injury to persons of the City, its ay <br /> ogainst liability r race or willful misconduct <br /> or resulting fivat the sole ncgi $ e of employment_or agents acting within their scop <br /> t I certify' that the inform- .•'• pr vidt on this application is true and <br /> Also, as Applies ,, <br /> correct <br /> tip <br /> _______5_72 3 <br /> 1- Date <br /> Pat Sullivan <br /> printed Name <br /> Sc339-4402 <br /> _______§. 11-;-9L- --------1°°1 pharicNo- <br /> O nation Rcprescnting <br /> Linc businesses/individuals impacted by the event that you have contacted and ask them to <br /> sign off if they concur with the closure. <br /> Signature <br /> Businesses/Individuals (print) <br /> 1. ' <br /> 2. <br /> 4. <br /> 6. <br /> 7. <br /> . ., 6 <br /> TOTAL P.03 <br />