SANJOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT
<br /> —COUNTY
<br /> SITE APPROVAL
<br /> :.. .. �
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<br /> FILE NUMBER:PA'1 Iocl`
<br /> .�,:AUTHORIZATiON SIGNATURES
<br /> ONLY THE�OWNEKDPTHE:PROP.ERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> I,the Owner/Appllcant/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 obllgatlon 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 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 I shall pay the reasonable attorneys'fees and costs of such counsel.
<br /> I,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: David Rajkovieh Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: Garrett Rajkoyich Signature: Date,. 149
<br /> Print Name: Signature: l-' Date:
<br /> Print Name: Randy Raikovich Signature: Date:
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<br /> Updated 04129/2019
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