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���M�• SAN�ryJQAQUIN COMMUNITY �EVELc_.r'MENT DEPARTMENT
<br /> ���' �*�;:_,``�� �.r3v:t.1--cv— SITE APPROVAL
<br /> �``iaS.,ri,``.� Groato exp graays. hare. FILE NUMBER-
<br /> ' :4UTHORIEATION,SIGNATURES{
<br /> �'UNLX THE�OWNEIQ OF.THE:PROPER OR AN AUTH ORIZ�O AGENT MAY FILE AN APPLICATION "
<br /> 1,the Owner/ApplicanVAgent agrees to indemnify, defend (with counsel reasonably approved by County), and hold
<br /> harmless the County and its officers,otflcials,employees, agents, boards and commissions(colleGivaly"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 tlocumants related to the applied for project, and any related development approvals or project
<br /> conditions for the applied for projaG(hareinaRer"Claim");
<br /> B. For any and all costs and expanses 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 fleas, or expert
<br /> witness costs that may ba asserted by any person or entity, private attomay general flees claimed by or awarded to any
<br /> party against the County, and the County's costs Incurred In preparing an administrative record which era not paid by the
<br /> p¢titioner-
<br /> G Except as to the County's sola negligence or willful misconduct.
<br /> 2. DEFENSE:
<br /> A-The County may participate or direct the defense of any Claim.The Countys actions in defense of any
<br /> Gaim shall not relieve ma of any obligation to indemnify, defend, and hold harmless the County.
<br /> B. In the avant of a disagreement between County and m¢regarding defense of any Claim, the County shall
<br /> have the authority to con Vol the litigation and maks litigation decisions, inGuding, but not limited to, Lha 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,than County may utilize the Office of the County Counsel or employ separate outsitle 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 1 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 Yhis application)and
<br /> have bean authorized to file on their behalf, and that the foregoing application statements are true and correct. -
<br /> Print Name: �J�LW t N A E2� R F�-tA Q Signature: Data: O 3)03'`20
<br /> Print Nama: Signature: �lfe0%Me� fOp�d-- Data:
<br /> Print Nama: Signature: Date:�
<br /> Print Nama: Signature: Date:
<br /> Print Nama: Signature: , Date:
<br /> Pages 6 of 6
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