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SAN JOANIN COMMUNITY DEVELOPMENT DEPARTMENT
<br /> COUNTY- SITE APPROVAL
<br /> ,i
<br /> FILE NUMBER,
<br /> AUTHOWATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE;AN APPLICATION
<br /> 1, 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 obiigation 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 airy 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 /> 1,further,certify under penalty of perjury that I am(check one):
<br /> Legal property owner(owner includes paitner, 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: ' oh s (Ig Signature: -' ' 1 J.1 ° Date:
<br /> Print Name: _ Signature: Date:
<br /> Print Name. Signature Date:
<br /> Print Name: Signature` —– Date;
<br /> Print Name: Signature, _— _—. _ _ rate:
<br /> Rage 6 of 6
<br /> Updated 0812812020
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