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THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on September 12, 1995 by the following vote:
AYES: Supervisors Smith, DeSaulnier, Torlakson and Bishop
NOES: None RECORDED AT REQUEST OF
CONTRA COSTA COUNTY
ABSENT: Supervisor Rogers �s
1J5484 ov = 9 19961
ABSTAIN: None
X ULOL"K M
' S
STEPHEN L. WEIR
SUBJECT: Authorizing Acceptance of Instrument. COUNTY RECORDER
FEE: OFF L
IT IS BY THE BOARD ORDERED that the following instrument is hereby
ACCEPTED:
INSTRUMENT REFERENCE GRANTOR AREA
Release and Encroachment Lajetta Lacy Martinez
Indemnification Permit No. 10007
I hereby certify that this is a true and correct copy of
an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: _September 12, 1995
PHIL BATCHELOR,Clerk of the Board
Of Supervisors and County Administrator
'-� Deputy
Contact: Rich Lierly- 313-2348
Originator: Public Works (ES)
cc: Recorder(via Clerk) then PW Records
Director of Community Development
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Recorded at the request of:
CONTRA COSTA COUNTY
Public Works Department
Engineering Services Division
Return to:
Public Works Department
Records Section
Area: 1194rfrne i
Road: ggl
Z2awhry 110i �
Co. Road No.: /4-W'
If
Project:
Assessor's No.: U7- /70- DO/-S
i
RELEASE AND INDEMNIFICATION
L, ey declare the following:
a. We are the owners of 3344 4/h&6#q uQll#y.tflocated at California, as
described in the Deed to us, recorded 9-30-90-, in Book_ of Official Records at page'21F (the
"Property").
b. We have obtained an a4C,'V4M`1PWf �A�s"m�f Na • lOgo
C. In consideration of, and as a condition to, the granting of the permit referred to in
subparagraph (b) above, we, and each of us, agree to construct said dwelling unit in accordance with
the building permit.
d. In further consideration of the granting of said e�uoacr.2n �it we, and each of us,
hereby release the County of Contra Costa, and ifs respective officers,
agents and employees from any claim, cost, or liability arising out of or in connection with any damage
to the site improvements resulting from Sa/d ewc naakme-nt DV-zn i+
e. In further consideration of the granting of said encroaeAigeof R—aw;f, we, and each of
us, hereby agree to defend, indemnify, and hold said County, and
respective officers, agents, and employees harmless from any claims, costs, demands, expenses or
liability, including without limitation all consequential damages, arising out of or in connection with any
damage to the site improvements resulting from E4 Goo c hn eWt Axmi t /O 00 7
f. This Agreement is an instrument affecting the title or possession of the real property
described above, and shall be .binding on and inure to the benefit of all our heirs, successors, and
assigns.
Executed this day4�of Alin Ve'Y beP I9CK
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State of California )
County of Contra Costa )
On November 6, 1995, before me, Phil Batchelor, Clerk of the Board of Supervisors
and County Administrator, Contra Costa County, personally appeared LaJetta L. Lacy, who
is personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person whose name is subscribed to the within instrument and acknowledged to me that
she executed the same in her authorized capacity, and that by her signature on the
instrument the person, or the entity upon behalf of which the person acted, executed the
instrument.
Signature
Deputy Clerk
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