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JUI U'L Uy U0:0 I(J Of ldl eel le r <br /> • <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 /> correK ' �a� <br /> Sienature Date j <br /> • Printed Name <br /> Organization Representing Phone No. <br /> List businesseslindividuals impacted by the event that you have contacted and ask them to <br /> sign off if they concur with the closure. <br /> Businessesllndividuals (print) Signature. �; <br /> R;4; �� 1�i-t Pry d ofc_t, - �ate? l-�rn 1 Aar") 4-0-e-• 4.G/4 ccs 526 <br /> 2. `. .. _ �40 3(-16 v..e4'-tf w ��&'�1 <br /> )a ez �' .I _ds�� (o m b,4,e.b p-uz. Cum- nal,/ <br /> 4. e/944s; ?e- i;i6/e ciu ,c 519-7 r bf4 Df-e� G[.Q.t2, &D.& ?8g . <br /> 5- ' r9cf (le 77-1 ,414b <br /> 6. <br /> 7. <br /> • <br /> • <br /> • <br /> 9 <br />