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A <br /> 1g <br /> Acknowled ement 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 y teagainst myina and alury lll claims, actions,or death f any <br /> demands, suits, losses or liability resulting <br /> person or persons, and or damage to any and <br /> all <br /> prwop r yoccuning ordinance o arising from <br /> r m tis <br /> tion <br /> approval, or resulting from any non-compliance <br /> respecting the performance of approval grantedherein,h generality of thense foregoing,sing othe within <br /> from the approval granted_ With limiting g rlo and agents shall include <br /> indemnification by Applicant of City, its officers, employees g <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 <br /> fees, court <br /> t costs and and <br /> other legal expenses, and shall include the obligation of Appcanappear <br /> defend any and all such claims, actions, or other legal proceedings whether judicial,ces, <br /> quasi-judicial, administrative or otherwise, against or affecting City, <br /> . employees and agents arising out of or pertaining to the approval granted herein.- <br /> This paragraph does not purport to indemnify d the <br /> injury dloyees ctu sed by <br /> agents <br /> against liability for damages arising out of bodily 1ry to persons ordamages <br /> or resulting from the sole negligence or willful misconduct of the City, its officers, <br /> employees or agents acting within their scope of emplznent. <br /> Also, as Applicant I certify that th nform tion pr ided on this application is true and <br /> correct. <br /> Date <br /> \ r'rinted ane I /fn..2G <br /> Organization Representing <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 /> Bt ess s([n ' idua (P \\ ' �J6Inature <br /> 1. )vktmlit k.4 15 ' � YOO Qntei <br /> 2. J ►_fil=lo • aioL <br /> 3. A �i r��r i f �' �1 � .1 l f INII1�I �� <br /> 4. ■�t�i�w7't�I- , r • <br /> 5. - <br /> , _ I _...IA.r \'„„ L,,,Ili.,nti lc, R - 191 <br />