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PLEASE READ CAREFULLY: I, the undersigned, being the owner and title holder of the property situated at above stated address, in La Villa, TX, have requested from the said City to assist with the above work request in my property, that which constitute a hazard within the perimeters of my property, therefore, in consideration for the City agreeing to my request to remove said wastes within my property. I hereby RELEASE, DISCHARGE, AND AGREE TO HOLD HARMLESS the said City of La Villa, Texas, and its employees, agents, and others affiliated from any and all claims for damage to my property and/or any personal injury which may arise as a result of the said City’s entry into my personal property herein above described.
 

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