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<br /> A
<br /> t,.C oM�IUMITY VE�.OPIS OPENT DEPAISTNME T
<br /> SITE APPROVAL
<br /> ;=ILE fidii�xti3l`tz:
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> the OwnedApplicant/Agentsagrees to inds rr nihy.defend(Mth counsel reasonably approved by County ,Wer hold
<br /> iarmiess the County and its officers,off QWs,einpicyees,agents,,boards and commissions(ccifertively`county`)as
<br /> '01lows;
<br /> Nit
<br /> A.f=rom and against any and all claims,demands;actions,proceedings, (asses,damages,
<br /> udgments and/or liabilities arising out of,related tn,or in connection with the applieatiOn and applied for project or to
<br /> attack,set aside,void,er annul,in whole or in pert,an approval of the applied fk'zr pro ecl c,y the County,the adoption of
<br /> environmental review documanis related to the applied for Mject. arnd any,'11.11,cd de afocment approvals or project $
<br /> ;onditions for thea �}
<br /> pplied for project(hereinafter"Claim");
<br /> B.For any and all costs and expenses inuurri3d by the CouritY or acCww o,*a iy Ciaini,except where such
<br /> ndemnificsation is prohibited by law,including but not limited to damages,costs,excer)se-s,attorney's fees,or expert
<br /> Nihtess costs that may be asserted by any person or enilty,private atlomey general fees claimed by ar awarded to any
<br /> )arty against tho County,and the County's costs incurred in preparing an administrative record which are not paid by the
<br /> �etitlorter.
<br /> C_Exce**it as to the Counb/s sale negligence or wiliful misconduct
<br /> 2. DEF
<br /> A.The County may participate or direct the defense of any Claim.The County's actions irr defense os any
<br /> :Wim shall;tot relieve me of any obligation to Indemnify:defend,and hold harmie$s the Cwirity.
<br /> B.to the event of a disagreement between County ares;rtie regarding:defense of any Cahn,the County shall
<br /> lave lire authority to control the litigation and make litigation decisions:inctudina,but not limited to,the manner in which
<br /> he defense is conducted_
<br /> C. If the County reasonably determines that:having common counsel presents such eottrsel vdth a conflict of
<br /> nterest,or if 1 fall to promptly assume the defense of any Claim for to promptly employ counsel reasonably saiistaclQn;.o .t
<br /> he County,then County may utilize the Office of the County Counsel or emptoy separate outside counsel to represent or
<br /> iefend the County,and t stall pay the reasonable attornays lees and c o,315 of such counsel.
<br /> 1,further,certify under penalty of perjury that i an;ichec,orie);
<br /> Legal property owner(oNmer includes partnertrustee.tn,stor,or corporate officer)of the property(s)involved in this
<br /> application,or
<br /> Legal agent(attach proof of the owner's consent to the application of the p.opert'es involved if',this application)and
<br /> have been authorized to file on their behaff,and,tat the foregoing applicabwt stdt-meals are true and correct.
<br /> 7
<br /> riotNarnci:ni11lt3_ r� : s�.11L� Signature:
<br /> ristNrme: ��Il ..-Gt'IGeCLt''i �t.i�.l. $lor,�turF. (.� �¢�'''•2Zt f
<br /> 'rirtt Name, ._.. _ Sigrrattrru / Date:.. --.
<br /> '/fit Mame: . . -Signature – — Sate: ..
<br /> 'rintNartte: SignoturR D;.e.
<br /> 0 5 r r ci
<br />
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