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SAN.~1OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT
<br /> —COU NTY--
<br /> .; l.�rralnc:,s Jr•as:s 1'rgrr,
<br /> FILE NUMBER:
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FIDE AN APPLICATION
<br /> I,the Owner/Applicant/Agent agrees to indemnlfy,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 liabllitles 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 /> ciaim shall not relieve me of any obligation to indemnlfy, 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: A-ex Nd M� kr)5 Signature: e: D
<br /> Print Name: Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: Signature: Date:
<br /> —The appllc Ts atenant M the Stockton Metropoli an Airport an as su ficcentlniiiiFer-e—sfin t e su tecf property toflfe thls app ic`atio-5 ave
<br /> reviewed the intended use and approve the operation subject to approval of the design review committee.
<br /> Print Name' 1'S�1b54 j� � Signature;
<br /> Airport Direc or
<br /> Date: 1Ur e 2A, 7,0?]d
<br /> Updated 04/29!2019
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