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DocuSign Envelope ID:FDBB98E7-4C2D-4FE3-80C4-24C140AB13D4
<br /> SAN J OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT
<br /> C O U N T Y SITE APPROVAL
<br /> FILE NUMBER:
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT M!X FILE AN APPLICATION
<br /> I,the Owner/Applicant/Agent agrees to indemnify,defend(with counsel reasonably approved by County), and hold
<br /> harmless the County and its officers, 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,set 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 be asserted by any person 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 are not paid by the
<br /> petitioner.
<br /> C. Except as to the County's sole negligence or willful misconduct.
<br /> 2. DEFENSE:
<br /> A.The County may participate or direct the defense of any Claim.The 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 event of a disagreement between County and me 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
<br /> the defense is conducted.
<br /> C. If the County reasonably determines that having common counsel presents such counsel with a conflict of
<br /> interest,or if I fail topromptly 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 I shall pay the reasonable attomeys'fees and costs of such counsel.
<br /> 1,further, certify under penalty of perjury that I am (check one):
<br /> ® Legal property owner(owner includes partner,trustee,trustor, 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 properties involved in this application)and
<br /> have been authorized to file on their behalf,and that the foregoing application statements are true and correct.
<br /> Print Name:
<br /> ]acqueline M Bezley Signature: Ol( .' --,UbtII� .t, Date:
<br /> " 6/10/2019
<br /> W p�AA� �'�.
<br /> Print Name: Signature: oF2e5e55251e49o... Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: Signature: Dale:
<br /> Page 6 of 6
<br /> Updated 04129/2019
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