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• <br /> �; Sr 9 <br /> Acknovv1ed ement of Conditions & Certification <br /> ty <br /> As a material consideration to the City gdoes herebyranting tis ro demnify andwithout <br /> holdh he City, ti s <br /> would not do so, Applicant agrees to and <br /> officers, employees and agents harmless from and against any and all claims, actions, <br /> demands, suits, losses or liability resulting at any timeetfr0eC1injuryng to <br /> oor isdeath i n any this <br /> person or persons, and or damage to any and all property <br /> approval, or resulting from any non-compliance with any law, ordinance or regulation <br /> in, or <br /> respecting the performance of approval grantedhkt ieoof thet foregoing,egoing,arising othe withir resulting <br /> nfrom the approval granted. With limiting generality <br /> indemnification by Applicant of City, its officers, employees and agents shall include <br /> f, aption, <br /> and <br /> indemnification from any clau11,events inion, clude <br /> u de danyause and �] atcorneyust, or fees court costs and <br /> said indemnification shall in to appear in and <br /> other legal expenses, and shall include the obligation of Applicant pp <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 /> nd <br /> ents <br /> This paragraph does not purport to indemnifythe in?ty, its ofcers,e sons orndamagesployees aca.usgd by <br /> aagainst liability for damages arising outof bodily Jury to p <br /> or resulting from the sole negligence or willful misconduct of the City, its officers, <br /> employees or agents acting within their scope of emp 2 n1ent. <br /> Also, as Applicant I certify that ill- nform tion pr ided on this application is true and <br /> correct. <br /> Date <br /> 1Li� e <br /> iKai el C_ <br /> .• 3t ; ç <br /> V- _ � Kt <br /> 1623 Organization 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, �� e <br /> Su inesses/In•ivid al i i t <br /> 6,01241) <br /> trte aii t- ., ip ►I --- <br /> 2. illibjtt <br /> 3.4. rig aill !M1d 1 '"IPM11111 <br /> C ck tjAxl 11111 k C1— 19 5 <br />