Laserfiche WebLink
• • <br /> Assessor's Parcel No.: 009-180-03 <br /> District agrees to indemnify, defend, and hold the undersigned parties harmless from and against any <br /> and all loss, liability, expense, claims, costs, suits, damages (including punitive damages), and <br /> attorney's fees, arising directly out of the District's negligent operation or performance under this <br /> permit- <br /> EAST BAY MUNICIPAL UMITY OWNER- <br /> DISTRICT ("DISTRICT") <br /> RECOMMENDED BY: <br /> By. Owner signature: 2 <br /> Name <br /> n7E2 C,+DO PED 20 V <br /> Real Estate Representative <br /> Owner Warne: 9 097-R! Clf PAA_11_&_'_ <br /> Please print <br /> Date: Date: O(S'I" 1 <br /> APPR BY: <br /> S-- <br /> Stephen J- Boeri <br /> Manager of Real Estate Services <br /> Date: IT f�S b <br /> ---------- - --- ------- - - -- -- -- --- -- --- -- - --- - - -- -- - -- - - -- <br /> Owner- <br /> --------- - - --- - - <br /> OwnerPlease complete the following / <br /> 1. Please list any special conditions we should observe while on your property: <br /> 6� Z D feel V- <br /> 2. Owner telephone no.: �S' ry, tf 7/ <br /> 3. Ifyou have tenams or Lessees on the referenced property,please complete the following so that we can notify <br /> them prior to field activities: <br /> Tenant name(s): FA 6 (0 <br /> First Name Last Name <br /> Tenant mailing address: 2yDO47 Ma,- /f/LLQ /�!! CfC'n+` �i (�. s-2 ' 7 <br /> / <br /> Street Address City Zip <br /> Tenant telephone no <br /> v <br /> Please use the back of this page if additional space is required. <br /> 2 <br />