(Owner)

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(Owner)

City of Palmdale Building and Engineering Services 38250 Sierra Highway Palmdale, California 93550

Attention: City Engineer

Gentlemen:

We, I, Owners Name/s)____ are the owner/s of the following described property:

As owner/s, we have examined all plans for the development of

(Give Legal Description of the Site to be Developed)

Known as (Give proposed Address - If available)

give permission to (Drain Water, Construct Cut/Fill Slopes whichever is applicable)

The undersigned states that the City of Palmdale will be free and clear of any and all liability for damages due to this work.

The cost and maintenance of the (drains, slopes, etc.) shall be the responsibility of (Name/s of whoever is accepting responsibility).

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