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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 -
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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 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
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Owner Sign
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Print Name
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Date
Date
APPROVED AS TO fORM:
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Michael H, Miller
City Attorney
Revised 10/97
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CITY OF ARCADIA
CITV CLERK
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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
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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
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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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Rev.slonNumber