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SAN O n Q n I COMMUNITY DEVELOPMENT DEPARTMENT J N H BUSINESS LICENSE COUNTY FILE NUMBER: — �L� 2;:Rz Gr ectness grows here. FOR STAFF USEONLY Response Due Date: Business Information Applicant Information Business(DBA)Name: Name: '- - Mailing Address: H-�1U Mailing Address d o) 1 na 4 Phone: Phone• 2joci Email: < Email: 2 �I 49-2 tl C72 .CU/YI Property Information Assessor Parcel Number Property Address _ City Cross Street Business Details Description of Business: Cat,k f-- .611(.ide. Type of Organization: Single Owner ❑ Partnership ❑ Corporation ❑ Other: Does the business include the sale of firearms? ❑ Yes RrNo Number of Employees Hours of Operation Water Service Sewer Service Full Time Part Time QPublic Privat n-site) Public Priva ()n-site) 3 O .�1Q Q irl y -T o ' ❑ ❑ AUTHORIZATION SIGNATURES I,the Owner/Applicant/Agent agrees to indemnify,defend(with counsel reasonably approved by County),and hold harmless the County and its officers, officials,employees,agents,boards and commissions(collectively"County")as follows: 1. INDEMNITY: A. From and against any and all claims,demands,actions,proceedings,lawsuits,losses,damages,judgments and/or liabilities arising out of, related to,or in connection with the application and applied for projector to attack,set aside,void,or annul,in whole or in part,an approval of the applied for project by the County,the adoption of environmental review documents related to the applied for project,and any related development approvals or project conditions for the applied for project(hereinafter"Claim"); B. For any and all costs and expenses incurred by the County on account of any Claim,except where such indemnification is prohibited by law, including but not limited to damages,costs,expenses,attorneys fees,or expert witness costs that may be asserted by any person or entity, private attorney general fees claimed by or awarded to any party against the County,and the County's costs incurred in preparing an administrative record which are not paid by the petitioner. C. Except as to the County's sole negligence or willful misconduct. 2.DEFENSE: A. The County may participate or direct the defense of any Claim.The Countys actions in defense of any claim shall not relieve me of any obligation to indemnify,defend,and hold harmless the County. B. In the event of a disagreement between County and me regarding defense of any Claim,the County shall have the authority to control the litigation and make litigation decisions,including,but not limited to,the manner in which the defense is conducted. C. If I fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County,then County may utilize the Office of the County Counsel or employ separate outside counsel to represent or defend the County,and I shall pay the reasonable attorneys'fees and costs of such counsel. Print Name: G Signature. ,7' / Date: 9 i FOR STAFF USE ONjX General Plan Designation: Zoning Designation: Use Type: _ f ) Department Approved Denied Sin Date CDD:Planning Division ' Building D' 'sion Fre Distri Environmental Health Department Department of Public Works MHCSD(if applicable) License approved for: 1 ' ODL' m Pak History: , - '1 �_ _ _ _ -20 "2." Finalized by: Dale