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iRF\ OC'ABLP PI(RMIl <br />'o,TN 11 <br />d `yo <br />Riin lld;nn rills. OP l '10I 111 PI '411 1 1 IN TROLLED C Vk <br />PROPfR7SllI,, _i Pi lRNP) I"CINIfVI ihf I r IF SAMF y <br />('untpnnv Name � (./r`.� fro-'-�_�� �� l.n. �t _ �r ��— ���'C..1✓r f * ts�s <br />Ilerent. "API'l.ld'ANT' <br />tile encroaehntcot will be permitted to remain and , onlinuc under the follorcittg ternl� and conditions <br />!l 1'nul .tich ante as the BOARD nT 11I'14I IdWORKS (ROARD) of fhc ('11) OF Y)Mli RFNI) I'll-}-; ,.hall <br />datcnnue• Thal such cncroaduneul n of any way unpafnne. ul ialcr lcrinr frith the or wnh the lice and hale tbm <br />of tratlie Iheyeun: <br />..^.1 Sind encroorhmenl shalt not in any way preludiec or prectilde the I l I }"S rights with respect to life future use of [tic <br />Portion of 11w right -tit-nay= <br />+) the encroac hnient a, it now exists shall in no manner he added to nr enlar»ed in Tic present scope or dimensions: <br />C In the evertf of change of ownership ofthe fisniv or any other i(Mn afpervonul property which conslirates the atnresaid <br />cncroachntcnt. lilt, pf"Imrl shall hcconic null and void: <br />? I The CITY ¢hall not 1x� lnible to APPLICANT 6o1 any damages caused it, APPI ICANT that arise out of or ie incidental In <br />anv aeuvn g and ,, incidences authorized by Ihls permit: <br />nl hf conslderauon of the granting of this Pm-nul by life BOARD. APPI ICAN I' ;hall indemuifv, hold hennless and dclend <br />rfa•. CI'1'1' tiom and agaht'I aav lint, all tirllun, on causes of acihm which the i I Y may sulf'er or mein by reason of <br />110e111% otitis.', "'eluding death. to any persnn or pcnnns, or by rca von nl Aanru!c to of de.,truction of anv property=, <br />lilt ludinr file lov, thereol, n ful,bi Con of or of .nm lv lW uuf eoo"Clctl rcuh aifi acui-1ti and of mcndnnec't :mthullcod by <br />thf> persnn 'Ind or ony aCIIVII c mnl.'nr n)(OMIL, ❑ltidctn.d Ihaictu, of whlth the ( I ll ntav sliNfinn err mcnr In <br />Cnnnccliun wnh anv hmtmion. mvemi^_atiou. or nlhtr espendl hires Incidental thereto, Including anv ant mgituled by (he <br />CTTv' to cnG,rcc life obltpaGnu of Ibis agrccnfcnt of fndenmih. <br />If I% the mtem of file parties heroin Ihai lie 'VI'l 11. A'A i chill indcnmifv the Cl"fY under this indemnification clause to <br />the filled extent pemillit.d by low. except dill A IIIIR'AN'I shall nut iudcmnify CITY for any damage or cxpen.x <br />causal hy- Ihcsolcnceheence of the (`nil'. <br />'tins approval shall tx hmdhng upon evel-vone past or presenl. claiming any interest in and to the aforementioned cnaoachment. <br />ACCEPTANCE OFTERNIS .AND CONDITIONS <br />i accept and agree to be hound by all of the terms and conditions of thus permit. ,,� <br />Submitted By: Lf - /1r't�asL Cd± <br />Signature:---,)/,- <br />Date. ---•' ' i(: // <br />BOARD OF PUBf-1C' WORKS r PPROVAL <br />Presulzut Member Nleniher -- <br />Member M ibcr Date <br />Updated o.22 1' <br />