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SANs� OAQUINI COMMUNITY UEVEI PMENT DEPARTMENT
<br /> -c ou ivTv SITE APPROVAL
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<br /> . ._
<br /> FILE NUMBER-
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> 1, the Owner/Applicant/Agent agrees ko indemnify, defend(with counsel reasonably approved by County), and hold
<br /> harmless the County and its offcars, officials, employees, agents, boards and commissions(collectively"County")as
<br /> follows:
<br /> 1. INDEMNITY:
<br /> A. From and against any and all claims, demands, actions, proceedings, lawsuits, losses, damages,
<br /> judgments and/or liabilities arising out of, related to, or in connection with the application and applied for project or to
<br /> attacK, sat aside, void, or annul, In whole or in part, an approval of the applied for project by the County, the adoption of
<br /> environmental review documents related to the applied for project, and any related development approvals or project
<br /> conditions for the applied for project(hereinafter"Claim");
<br /> B. For any and all costs and expenses incurred by the County on account of any Claim, except where such
<br /> indemnification is prohibited by law, including but not limited to damages,costs, expenses, attorney's fees, or expert
<br /> witness costs that may ba asserted by env parson or entity, private attorney general fees claimed by or awarded to any
<br /> party against the County, and the County's costs incurred in preparing an administrative record which era not paid by the
<br /> petitioner.
<br /> C. Except as to the County's sola negligence or willful misconduct.
<br /> 2. DEFENSE:
<br /> A. The County may participate or direct the def¢nse of any Claim. Tha County's actions in defense of any
<br /> claim shall not relieve me of any obligation to indemnify, defend, and hold harmless the County.
<br /> B. In the avant of a disagreement between County and ma regarding defense of any Claim, the County shall
<br /> have the authority to control the litigation and make litigation decisions, including, but not limited to, the manner in which i
<br /> the defense is conducted.
<br /> C. If the County reasonably determines that having common counsel pr¢sants such counsel with a conflict of
<br /> interest, or if 1 fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to
<br /> the County, then County may utilize the Office of the County Counsel or employ separate outside counsel to represent or
<br /> defend the County, and 1 shall pay the reasonable attorneys'fees and costs of such counsel.
<br /> 1, further, cartiry under penalty of perjury that 1 am (check one):
<br /> ® Legal property owner(owner includes partner, trustee,trustor, or corporate officer)of the proparty(s) involved in this
<br /> application, or
<br /> � Legal agent(attach proof of the owner's consent to the application of the properties involved in this application)and
<br /> have been authorized to file on their behalf, and that the fora Ding application statements era true and correct.
<br /> Print Nam¢: Lakhbir Singh Mahil signature: ��' Data: a
<br /> Print Nama: Signature: Date:
<br /> Print Nama: Signature: Date-
<br /> Print Nama: Signature: Data:
<br /> Print Nama: Signature: Data:
<br /> Page 6 of 6
<br /> upaataa oeravaota
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