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' h <br /> Acknowleduement of Conditions & Certification - J <br /> e <br /> t <br /> As a material consideration to the City granting this approval, and without which the City3. <br /> would not do so, Applicant agrees to and does hereby indemnify and hold the City, its <br /> officers, employees and agents harmless from and against any and all claims, actions, <br /> demands, suits, losses or liability resulting at any time from injury to or death of any <br /> person or persons, and or damage to any and all property occurring or arising from this <br /> approval, or resulting from any non-compliance with any law, ordinance or regulation . <br /> respecting the performance of approval granted herein, or otherwise arising or resulting <br /> from the approval granted. With limiting the generality of the foregoing, the within <br /> indemnification by Applicant of City, its officers, employees and agents shall include <br /> indemnification from any claim, action, demand, cause of action, suit, or proceeding, and <br /> said indemnification shall in all events include any and all attorney's fees, court costs and <br /> other legal expenses, and shall include the obligation of Applicant to appear in and <br /> defend any and all such claims, actions, or other legal proceedings whether judicial, <br /> quasi-judicial, administrative or otherwise, against or affecting City, its officers, <br /> employees and agents arising out of or pertaining to the approval granted herein. <br /> This paragraph does not purport to indemnify the City, its officers, employees and agents <br /> against liability for damages arising out of bodily injury to persons or damages caused by <br /> or resulting from the sole negligence or willful misconduct of the City, <br /> employees or agents acting within their scope of employment. its officers, <br /> • Also, as Applicant I certify that the informationrovided o <br /> correct. P n this application is true and <br /> (PiTLEk_L___ tci ir 6 <br /> Signatures Date <br /> 7►-r?1 _ 1- �1I(oIL sill _ C-(ta ' <br /> Prime` C} <br /> Printed-Name - <br /> r <br /> ``�. a4. ---t,-6J NJ_ 66 (1 'lu.J2 z-/0.S`-_3.:=-561---2-_,-(-----c-) <br /> Organization Repres nting '-J i <br /> Phone No. <br /> List businesses/individuals impacted by the event that you have contacted and ask them to <br /> sign off if they concur with the closure. <br /> Businesses/Individuals (print) <br /> 1. „ ,. _ i.,; Signature <br /> v. <br /> • '. <br /> _ 9 <br />