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SAN -J OA Q U IN COMMUNITY DEVELOPMENT DEPARTMENT
<br /> SITE APPROVAL
<br /> FILE NUMBER:
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY 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 Ilabilities 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 oy 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 shalt 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 fall 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 /> n 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 stale nts are true and correct.
<br /> }
<br /> Print Name: M
<br /> —ichael Isfjan
<br /> Signature tcs:
<br /> Print Name: - ---._--- ___-- Signature. , Date:_
<br /> Print Name: _ Signature: Date:w
<br /> Print Name: — Signature. _ Date.
<br /> Print Name: ___-__---_-_- _ -- Signature: Date:
<br /> Page 6 of 6
<br /> Updated 08/2212019
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