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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. <br /> 7,4c-‘r <br /> G Signature Date <br /> Printed Name <br /> cw oe"#5%gond f3ve.),r - cre-��> <br /> Organization Representing Phone No. <br /> List businesses/individuals impacted by the event that you havecontacted and ask them to <br /> sign off if they concur with the closure. <br /> Businesses/Individu is(print) / Signa c <br /> Gre/47.57f /n014)42 srxi yo.ff <br /> 2./1'A:7U4-e CrvJTc'etes.s- e/Al.ve ae .Siv '6/J7 <br /> 3. 1—edee7 45.70. 7,14— 0,e .er Gp.r7 <br /> 4. <br /> 5. <br /> 6. <br /> 7. <br /> ':i <br />