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APR-09-97 0B= 59 FRUM;EUL9UM bUU1H LHNHL eXUJ . 1U: b110 UJ2 JlJ2 <br /> Assessor's Parcel No.: A.PN 152-100-081 <br /> Y/ District agrees to indemnify,defend, and hold the undersigned parties harmless from and against any and <br /> all loss, liability, expense,claims, costs,suits,damages(including punitive damages),and attorney's fees, <br /> arising directly out of the District's negligent operation or performance under this permit_ <br /> EAST BAY MUNICIPAL UTILITY OWNER: <br /> DISTRICT("DISTRICT') <br /> RECOMMENDED BY: <br /> By: Owner signature ' J <br /> Paul C. Hoover <br /> Real Estate Representative <br /> Owner name: W14.1-1 <br /> &M p. <br /> C Please print <br /> Date: � �� � V Date: ��/s/r��^ p <br /> APPR ED BY: , <br /> Stephen J_ Boeri <br /> Manager of Real Estate Services <br /> Date: ( S� <br /> - - -- - - - - - - - --- - ---- - -- ---- - -- - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - -- <br /> Owner:Please complete the following <br /> I- Please list any special conditions we should observe while on your property: <br /> 2. Owner telephone no.: i6 4/4 7--37--2/ <br /> 3. If you have tenants or lessees on the referenced property, please complete the following so that we can <br /> notify them prior to field activities: <br /> Tenant name(s): <br /> First Name Last Name <br /> Tenant mailing address: <br /> Street Address City Zip <br /> Tenant telephone no. <br /> Please use the back of this page if additional space is required <br />