(Owner)

(Owner)

City of Palmdale

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

Attention: City Engineer

Gentlemen:

We, I, _____ are the owner/s of the following described property:

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

known as _____

give permission to _____

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

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