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, 1 <br />1� <br />�-/ ( 2S (, <br />4 . Payment of banner permit fees MUST be included when the application is submitted: <br />Banner <br />Description of fee <br />Basic charge <br />Administrative fee (7 %) <br />Total (pay this amount) <br />1- bbZ-4b /y) Tees are non- rerunaawe <br />$35.00 NAME ON CARD <br />2.45 <br />$37.45 d Expiration date <br />-�eo - & i73I <br />v■ vvnwuvua v1 r%NN1vvcu. <br />Banner specifications: Permittee is responsible for following all specifications established by the City for <br />banners. Information regarding the specifications is attached to this application form and is available at <br />Public Works Maintenance. Failure to follow specifications may void City's approval of banner application. <br />Emergency removal: In the case of emergency removal or failure to remove the banner(s) at the <br />scheduled time, the City will contact the organization (permittee) and /or the permittee's listed installer. If the <br />City is required to remove any banner(s), the applicant will be required to cover the City's removal and <br />storage costs. <br />Insurance and indemnification requirements: The organization named in this application, hereafter <br />referred to as Permittee, covenants and agrees to defend, indemnify and hold harmless the City of Eugene, <br />from any and all costs, claims, demands, suits, actions, judgments, and recoveries for or on account of <br />damage or injury, including death, to property or person to Permittee, its agents, servants or volunteers, and <br />to all members of the public, caused by or arising out of the installation or display of the described banner. <br />Permittee agrees to pay all replacement costs for damage to City facilities or equipment resulting from the <br />installation or display of the described banner. City does not assume any responsibility for the condition of <br />facilities or equipment used. <br />7. <br />8. <br />be faxed in if using a credit card. 1-ax t <br />Amount ❑ Cash ❑ Check <br />❑ VISA G MC <br />Incomplete Applications will not be processed and will be returned to applicant. <br />