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RECORDING REQUEST BY
99 1232826
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CITY OF ARCADIA
,WHEN RECORDED MAIL TO
NAIIE JUNE D. ALFORD, CITY CLERK
CITY OF ARCADIA
::~~~ 240 W. HUNTINGTON DRIVE
P.O. BOX 60021
CITY,$TATE ARCADIA CA 91066-6021
ZIP CODE '
NOV 8 ~9!9
CITY OF ARCADI/\
CITY ct.~RK
SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE
IFREE ~ HJ
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/TITLE(S)
CITY OF ARCADIA
DEVELOPMENT SERVICES DEPARTMENT
HOLD HARMLESS AGREEMENT (Obstruction In Public Right Of Way)
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RECORDING REQUESTED BY AND
WHEN RECORDED MAIL TO:
City Clerk
City of Arcadia
240 W, Huntington Drive
Arcadia, CA 91007
NOV B 1999
CITJrrcq B'A
, '99' 1232826
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CITY OF ARCADIA
DEVELOPMENT SERVICES DEPARTMENT
HOLD HARMLESS AGREEMENT
(Obstruction In Public Right Of Way)
Property Address:
Assessor's Parcel Number;
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Re: Obstruction Description -
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In consideration of and as a condition to Issuance of an off-site or encroachment permit
for the above described obstruction(s), the undersigned agrees to indemnify, and hold harmless
the City of Arcadia, Its officers, agents, and employees from and against all losses, claims,
demands, payments, SUitS, and Judgements of every nature and description brought or
recoverable against It or them (the City et. al.) by the owner, his agents or employees, or third
parties arISing out of or in any way attributable to the above job.
Owner(s) shall be fully responsible for care and maintenance of subject obstruction,
Owner(s) acknowledge and agree that the permitted encroachment is subject to removal upon
notice from the City. If not removed by owner per City Notice, City may remove same at
owners expense,
This document shall be binding on all successors In Interest to subject property, All
parties to is ag eement ha executed this instrument on the date shown below their
si res
Owner Signature
?&7"e C;,4U4~'
Pnnt Name
Pnnt Name
0;z/J'/
Date/ /'
Date
APPROVED AS T!Oih~
Mm~leV-
City Attorney
Revised 10/97
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99 1232826
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CITY OF AIlCADIA
ClTV C1.E~K
RECORDEDIFILED IN OFFICIAL RECORDS
RECORDER'S OFFICE
LOS ANGELES COUNTY
CALIFORNIA
8:04 AM JUL 07 1999
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SPACE ABOVE THIS LINE RESERVED FOR RECORDER S USE
TITLE(S)
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FEE N/A N/A 20 9_ ' -19 04 19
CODE
REC NO NO PCOR DA SURVEY NOTIF INVOL NON
FEE PAGES TITLES FEE MON LIEN CONF
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EXAMINER S INT, D
Assessor s Identification Number (AIN)
To Be Completed By Examiner Or TItle Company In Black Ink
Number of Parcels Shown
[II]
A
.
Revision Number