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a <br /> Acknowledgement of Conditions & Certification <br /> As a material consideration to the City granting 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 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, its officers, <br /> employees or agents acting within their scope of employment. <br /> Also, as Applicant I certify that the information provided on this application is true and <br /> correct. 0� t <br /> 1111L1 <br /> 111 <br /> Or Sign. R e Da e <br /> _ _ III J • Pitr°f. <br /> Printed Name <br /> Org tion Representing 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/Indivduaks(print) Signa <br /> 1. r1 `S <br /> 3. f 6C . cs Ciii' <br /> 4. PCED all <br /> .5. , O <br /> ■...—® . <br /> O-r� 6��� CL <br /> (1-3U �CZ- <br /> 1k4 1 Pt <br /> Leo AS \pea.0 <br /> tZ . cod- em ,s <br />