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								    STATE OF TEXAS j 
<br />KNOW N BY TME PRESENTS: 
<br />COUNTY OF LAMAR 
<br />That 1,+- in my designated capacity, if any, do 
<br />hereby request the CITY OF PARIS, PARIS, TEXAS, to grant to me a Special Event Permit based on the 
<br />information which I have provided, and in consideration of its doing so, do hereby, for myself, my heirs, 
<br />representatives, agents, employees and assigns, agree to indemnify and hold harmless the CITY OF PARIS, PARIS, 
<br />TEXAS, its past, present and future officers, elected officials, employees, agents, insurers and attorneys, from and 
<br />against any and all claims, suits, actions, causes of action, demands, damages, costs, expenses, attorney's fees and 
<br />other compensation, whether from property damage, personal injury, violation of constitutional or statutory rights or 
<br />other injury, whether known or unknown, and whether hereafter asserted or not, growing out of, arising from, or in 
<br />any way connected with., the granting of snob permit or the event for which such permit is granted. 
<br />Witness my hand this day of _. k 
<br />PRINTED NAME OF INDIVIDUAL OR COMPANY SIGNATURE OF APPLICANT 
<br />STREET ADDRESS HOME AND BUSM S PHONE NUMBERS 
<br />J 
<br />CITY, STATE, ad°1P CODE 
<br />STATE OF TEXAS 
<br />BEFORE , the undersigned authority, on this day personally appeared _i , 
<br />known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that 
<br />he/she executed the same for the purpose and consideration therein expressed and in the capacity therein stated, in 
<br />any. 
<br />GIVEN UNDER MY RAND AND SEAL OF OFFICE, this day of ®_ , 
<br />Notary Public, State of Texas 
<br />
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