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SAN JOAQUIN <br />--COUNTY-- <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />LOT LINE ADJUSTMENT <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 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 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 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 />Iii Legal property owner (owner includes partner, trustee, truster, or corporate officer) of the property(s) involved in this <br />application, or <br />D 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: Leslie Brandow <br />Print Name: Vala Brandow <br />Print Name: __________ _ <br />Print Name: __________ _ <br />Print Name: __________ _ <br />Signature: ,�A. A _l�_,, f?r, _ _,, .. J �-- <br />�-)-7 /) '------4 __) <br />-._.-- <br />Signature: _I,'----!--<f�--=;;...,.;_�l-· }""-,/-=·z:-:=a.._; .:.....;-?-:-z;;_""""--Cic,.,=Uh::....-=l("-J'-__ -/ <br />Signature: ____________ _ <br />Signature: ____________ _ <br />Signature: ____________ _ <br />Page 4 of 6 <br />Date: L/-� J.. /-do;J./ <br />Date: 1/ �-:1, /--:JcJ2( <br />Date: _____ _ <br />Date: _____ _ <br />Date: _____ _