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<br />VOLUNTARY CONSENT TO DEMOLISH FORM <br /> <br />CONSENT TO THE DESTRUCTION OF CERTAIN BUILDING(S) AND/OR <br />STRUCTURE(S) BY THE CITY OF LA PORTE, WAIVER. OF NOTICE AND <br />PUBLIC BEARING, AGREEMENT TO HOW TIffi CITY OF LA PORTE, ITS <br />EMPLOYEES AND AGENTS HARMLESS. <br /> <br />THE STATE OF TEXAS,) <br />COUNTY OF HARRIS) <br /> <br />KNOW ALL MEN BY TIIESE PRESENTS: <br /> <br />That I (iN e), t:. e. r:..i I Ej"'R ~ 0 e:L it. Pe d r{ having shown proof of ownership <br />(Print OWner or Owners' Name) <br />4oherebr:Wcllve~.i;ight~_Ima.y,navefbr nQticean~ a pul;>1,ic,h~g in're$~dt9;th~,.,,~_.:,.,-:-c' __:,;,-,:~,=", _':". <br /> <br />condi!ionofthe Sf'/l.'~- tAf/Jdl:n d fA.) elh-Il ~ loCated on my <br />'Cribe type ofbu " gs or structurer) }\ <br />property, the legal descnptioh of which is; <Do 3 ~, S a..d V . L a I'> P, <br /> <br />,--- " fo D ~ '7/). s1;dr;:l V f9 otj(~, <br /> <br />, (Block Number " Lot Numbers 'SUhdivisi'" Name) . , <br /> <br />, And I hereby consent to the d~Dfolition of said building( s) and! or structur~~) on the <br />_al?ove des'C?Iibed property by the City of La Porte (the,CitY), or by ~ ag.e,nts and ' . <br />ein~foyeesofthe City and I hereby agree to hold harmless the City and ,an Its agents, <br />employees ap.d/pr independent c01;1tractor~ofthe City for any injury to persons or <br />,propertY, caused, in tJle. prePm:~()n fur demolition 'of said building(s) and/Or structUie(s); <br />in the actual demol[#on of said building(s) and/or structure(s), ot in removal ofmaten81s' <br />or~uipmeri.t met d~II1blition ofsaid-building(s) and/or structure(s), and there is no", <br />msutance on abov~ descnoed property or stru~e. <br /> <br />, TJris agreement shfill not be construed as a contract that in any way obligate~ t~e City tq <br />demolish said building(s) and/or strtIcture(s) nor to perform any other work at the sUbject <br />location. This co-~nt and agreement provides the City with my authority'to do ail bf <br />such work if the 'appropriate City officials deem the health and safety of the community is <br />best served by the City performing the demolition of said building(s) and/or struoture(s)c <br /> <br />A' ECEIVE <br />.. JUN 23 (JJ' <br /> <br />BY: <br /> <br />