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SAN_)UAQUI <br />N <br />COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUSINESS LICENSE <br />FILE NUMBER: `�o%L.7 <br />I <br />: ?;:: r; e si t: ri :. s r _ t c>. <br />I, the Owner/Applicant/Agent, agrees to indemnify, defend (with counsel reasonably approved by County), and hold harmless the County and its officers, officials, <br />employees, agents, boards and commissions (collectively 4County°) as follows: <br />Resp <br />selLJue <br />connection with the application and applied for project or to attack, set aside, void, or annul, in whole or in part, an approval of the applied for project by the <br />County, the adoption of environmental review documents related to the applied for project, and any related development approvals or project conditions for <br />FOR STAFF USE ONLY <br />B. For any and all costs and expenses incurred by the County on account of any Claim, except where such indemnification is prohibited by law, including but <br />�ate: <br />Business Information <br />petitioner. <br />Applicant Information <br />2. DEFENSE: <br />Business (DBA) Name: Mario's Tree Service <br />indemnify, defend, and hold harmless the County. <br />Name: Irma <br />make litigation decisions, including, but not limited to, the manner in which the defense is conducted. <br />Mailing Address: 937 Via Lata Suite 500 <br />of the County Counsel or employ separate outside counsel to represent or defend the County, and I shall pay the reasonable attorneys' fees and costs of <br />_Ochoa <br />Mailing Address: 937 Via Lata Suite 500_ <br />1, the Owner/Applicant/Agent, affirm all the information above is true and correct, under penalty of perjury. <br />Print Name: Irma Ochoa Signature: d -x.4r& OcJie� Date: 01/04/2021 <br />FOR STAFF USE ONLY <br />Colton, CA 9232_4_ <br />Zoning Designation: (i J <br />92324 <br />Phone: 951-790-7175 <br />_Colton, _CA_ <br />Phone: 951-790-7175 <br />Approved <br />Email: irma@mariostreeservice.net <br />Signature <br />Email: irma@mariostreeservice.net <br />CDD: Planning Division <br />Property <br />Information <br />�. • Fes.. /, r/ <br />Assessor Parcel NumberProperty <br />Address <br />10111 N St Rt 99 W Frond Rd, <br />City <br />Cross <br />Waller Rd <br />Street <br />122-040-16 <br />Stockton <br />EnforceVienlDii 'sion <br />Business Details <br />Description of Business: Tree Service / Line clearance <br />Type of Organization: ❑ Single Owner ❑ Partnership <br />X Corporation ❑ Other: <br />Environmental Health Department <br />Does the business include the sale of firearms? ❑ Yes <br />® No <br />S U 0 01 3S s3 7 56 <br />Number of Employees <br />Hours of Operation <br />Department of Public Works <br />Water Service <br />Sewer <br />Service <br />Full Time <br />Part Time <br />lam to 4pm <br />Public Private (on-site) <br />n EZ <br />Public <br />❑ <br />License approved for: .3/,e 5<"�yc c ��-.J�C.M.-�; Sc.^�•� t�f- lld/r) <br />Private (on-site) <br />EZ <br />5 <br />0 <br />NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br />AUTHORIZATION SIGNATURES <br />I, the Owner/Applicant/Agent, agrees to indemnify, defend (with counsel reasonably approved by County), and hold harmless the County and its officers, officials, <br />employees, agents, boards and commissions (collectively 4County°) as follows: <br />1. INDEMNITY: <br />A From and against any and all claims, demands, actions, proceedings, lawsuits, losses, damages, judgments and/or liabilities arising out of, related to, or in <br />connection with the application and applied for project or to attack, set aside, void, or annul, in whole or in part, an approval of the applied for project by the <br />County, the adoption of environmental review documents related to the applied for project, and any related development approvals or project conditions for <br />the applied for project (hereinafter'ClaiW); <br />B. For any and all costs and expenses incurred by the County on account of any Claim, except where such indemnification is prohibited by law, including but <br />not limited to damages, costs, expenses, attorney's fees, or expert witness costs that may be asserted by any person or entity, private attorney general fees <br />claimed by or awarded to any 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 claim shall not relieve me of any obligation to <br />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 have the authority to control the litigation and <br />make litigation decisions, including, but not limited to, the manner in which the defense is conducted. <br />C. If I fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County, then County may utilize the Office <br />of the County Counsel or employ separate outside counsel to represent or defend the County, and I shall pay the reasonable attorneys' fees and costs of <br />such counsel. <br />1, the Owner/Applicant/Agent, affirm all the information above is true and correct, under penalty of perjury. <br />Print Name: Irma Ochoa Signature: d -x.4r& OcJie� Date: 01/04/2021 <br />FOR STAFF USE ONLY <br />General Plan Designation:;t% L <br />Zoning Designation: (i J <br />UseType:;i.,- v,-. c L <br />Department <br />Approved <br />Denied <br />Signature <br />Date <br />CDD: Planning Division <br />;'. <br />�. • Fes.. /, r/ <br />j- %— �' `j r/ <br />,ti, <br />Building Division <br />EnforceVienlDii 'sion <br />Fire District r <br />Environmental Health Department <br />S U 0 01 3S s3 7 56 <br />1 - 19 ' X02 1 <br />Department of Public Works <br />MHCSD (if applicable) <br />License approved for: .3/,e 5<"�yc c ��-.J�C.M.-�; Sc.^�•� t�f- lld/r) <br />--- <br />History: L - 2 J 2 Z (. /1, L <br />Finalized by: <br />Date <br />