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RECORDING REQUEST BY
CITY OF ARCADIA
, WHEN RECORDED MAIL TO
JUNE D. ALFORD, CITY CLERK
CITY OF ARCADIA
240 W. HUNTINGTON DRIVE
POBOX 60021
CITY, STATE ARCADIA, CA 91066-6021
ZIP CODE
NAME
".IUNQ
ADDRESS
99 1096590
NOV 2 Q '~99
CITY OF ARCADIA
ClTV ClERK
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SPACE ABOVE THIS LINE RESERVED "OR RECORDER'S USE
ITITLE(S)
IFREE
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CITY OF ARCADIA
DEVELOPMENT SERVICES DEPARTMENT
HOLD HARMLESS AGREEMENT (Obstruction in Public Right Of Way)
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R.428S/9<I
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RECORDING REQUESTED BY AND
WHEN RECORDED MAil TO:
City Clerk
City of Arcadia
240 W. Huntington Drive
Arcadia, CA 91007
99' 1096590
CITY OF ARCADIA
DEVELOPMENT SERVICES DEPARTMENT
HOLD HARMLESS AGREEMENT
(Obstruction In Public Right Of Way)
Property Address:
As5e5sor's Parcel Number:
/ I~ (." <; PUN,y.bo A-VlI'
~111' l!A- q/(}('J(,.,
Re: Obstruction Descri ption -
'":b~'V6WA-4' AP/UyJ - f....vl'n') S.j...c>n~/s
,
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 this agreement have executed this instrument on the date shown below their
signatures.
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Own Signature
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wner Signature '
S'<.;r,;wA.Il~ .pA.(.~~
Print Name
~~E6'CJR'1 ':pAt-ME'?, f1.D
Print Name
1/- 7- 9~
4' - 7- 99
Date
Date
Revised 10/97
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~DEDlFILED IN OFFICIAl:. RECORDS
--, RECORDER'S OfFICE
LOS ANGELES COUNTY
CALIFORNIA
8:04 AM JUN 15 1999
SPACE ABOVE THIS LINE RESERVED FOR RECORDER S USE
TITLE(S)
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FEE NJA NJA 0 20 9_ 19 04 19
CODE
REC, NO, NO PCOR DA SURVEY NOTIF, INVOL NON
FEE PAGES TITLES FEE MON LIEN CONF,
3
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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
ITD
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RllYlalon Number