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HomeMy WebLinkAboutD-2556 ~ -'" - r, }~ .' 99 1546263" ',. RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: City Clerk City of Arcadia 240 W, Huntington Drive Arcadia, CA 91007 nEe 'l '999 C\l~ OF ItfIt;~D,^ CRY <:tEAK CITY OF ARCADIA DEVELOPMENT SERVICES DEPARTMENT HOLD HARMLESS AGREEMENT (Obstruction In Public Right Of Way) FEE 13 DAF $2 ,C-20 3 G Property Address: ,~3 W. W~~ Assessor's Parcel Number: ,")'''7 k-'7 ~/(p -/ Re: Obstruction Description - ma;/~;u- . {;?/l(::1d~4hV"if /mfJ ~nb.d1<I..r- /,,~(JS'h ('~-..v5 wJ#r..v /2pif~ dA.J 1.t.kJt1d~<<! 0/11:/ (7tv/U-<.- CY' ,(,t#r . L2A!o ,S:Ri:Z-hd:</ /r; - ~/77~r/ Iv /~,1Mr15; . J:j?P""flu&?/tthti' ?')./~ 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 fOf cale 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 slgnatur ~~~? Owner Sign ~~//1 ~~6.....r L.. ~"-<cJ,NI) -T,z, Print Name J.-- //- t 1 - cP-//-cJ9 Date Date APPROVED AS TO fORM: 'rr\*f ~ rn~ Michael H, Miller City Attorney Revised 10/97 / . ~ Ulv t. '~::':J CITY OF ARCADIA CITV CLERK ) 99 1546263 CALIFORNIA ALL.PURPOSE ACKNOWLEDGMENT State of California } ss County of Los ,4.NtTE.tEJ' On 0,5>/17/9'1 , before me, C',t))?LOJ A, ,:Jt/eJ/-d ~~" '&t~'c J Dale Name and Title of Officer (e 9 , "Jane Doe, Nola Public") f20.BER'T ,!, /7AH#ON'j) au"'" C,qTHY L.. /7'4.1'(#0#.1) Name(s}ofSlgner(s) personally appeared o personally known to me ~ proved to me on the baSIS of satisfactory eVidence CARLOS A. CUEVA -;. "Commission 111099810 ~ ~ . _. Notary Public - California ~ z '" _ Los Arlgeles County "0 My Comm Expires Jun 4, 2OCX) to be the person(s) whose name(s) ~ subscribed to the Within inS ment and acknowledged to me that t ey xecuted the same In their authOrized capacltY(les), and that by Atsfhef€ir> slgnature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument Place Notary Seal Above ~nd~nE'~O~ "'::':'0 "'Y ~'" OPTIONAL Though the mfannatlon below IS not reqUIred by law, It may prove valuable to persons relymg on the document and could prevent fraudulent removal and reattachment of thiS (ann to another document Description of Attached Document Title or Type of Document 1!oL.j) I/ARH LcoS.! A6',RC'E,HC'H r - CITY bt: A,Rt:,d~/A Document Date OJ'//I /9'1 Number of Pages tP./ Slgner(s) Other Than Named Above MICHAeL /I, Hluco-R - c2,'t;t /1#0/;,/07 v Capacity(ies) Claimed by Signer _Signer's Name !<olJeAT ,e, /l4InION'/> tkJd' e9r#y L, H.4HIYOH!) Alndlvldual o Corporate Officer - Title(s) o Partner - 0 Limited 0 General o Attorney In Fact o Trustee o Guardian or Conservator o Other RIGHT THUMBPRINT OF SIGNER Top of thumb here Signer Is Representing @1997NallonaINotaryAssoclatlon'9350DeSotoAve PO Box 2402' Chatsworth, CA 91313-2402 Prod No 5907 Reorder Call Toll-Free 1-800-876-6827 RECORDING REQUEST BY WHEN RECORDED MAIL TO OEe 2 1999 CITy Of ARCADIA -"-c:nv CURK RECORDEDIFILED IN OFFICIAL RECORDS RECORDER'S OFFICE LOS ANGELES COUNlY CALIFORNIA 11:21 AM AUG 17 1999 99 1546263 '\ ( -... NAME ~/v'C>4,-;t: CI .,Ey' a ,cA,(?; w<t.. A MAILING ,;:U./o cv. /I~",/J'd"'" ?e{v>--< ADDRESS/?-'C,:?Q"'/,q/ (' ~ 9/Od 7 CITY, STATE ZIP CODE SPACE ABOVE THIS LINE RESERVED FOR RECORDER S USE TITLE(S) FEE N/A N/A 0 20 9 - 19 04 19 CODE -, REC NO NO PCOR DA SURVEY NOTIF INVOL NON FEE PAGES TITLES FEE MON LIEN CONF I ) ~ ,- '--- L~ 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 . . Rev.slonNumber