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FROM :WPC FAX NO. :4252526590 Jul. 19 2004 11:_30AM P2 <br /> ,4:....."-,,w.r .v,uw 1 .UV 1 to ')t.') al Jed'1eut natio tt.:u 1;J!-;3y3Ut)'i <br /> p. <br /> �ti <br /> • Acknowledgement of Couditions & Certification <br /> , - ,\s a material consideration to the City wanting this approval,and without which the City <br /> • would not do so, Applicant agrees to and does hereby indemnify and hold the City, its <br /> officers, employees and agents ham:less from and aeair,st any and all claims, actions, <br /> demands, suits, tosses or liability resulting at any time fora injury to or death of any <br /> person or persons, and or damage to any and all properly ocr.rrring or arising from this <br /> approval, _:r resulting _'rorn any non-compliance with ;Any law, ordinance e regulation <br /> respecting the performance of appro•,al grat-ac l herein,Or otherwise arising or resulting <br /> from the approval granted. With limitinu 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, derwand, cause of action, snit, or procccditrg,anti <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, ct other legal proceedings whether judicial, <br /> quasi-judicial, administrative or otherwise, against or afie-cring '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 persuua or damages caused by <br /> or resulting from the sole negligence or willful misconduct of the City, its officers, <br /> employees or agents acting within their scope of employment. <br /> Also, as Applicant I certify that the .iiiforn-ation provided on this application is true and <br /> C07TCC[. ,-. <br /> ... likgif7,41..— '. 4/1_17/0 1 <br /> Signature Date <br /> k."‘' L . {1aLW <br /> Printed Name <br /> Organization Representing Phone No. <br /> List businesses!individuals impacted by the event that you have contacted and ask thc:rn to <br /> sign off if they concur with the closure. <br /> Burinesses,lndi••irivaic pint) C---'(°r til -- lig; e <br /> !h r <br /> 1. 1 to/C.5 /24 , r_'s 6 fe/0 f 4-h --- <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> 5 <br />