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<br /> COMMUNITY DEVELOPMENT DEPARTMENT
<br /> 3 -COU QTY- LOT LIME ADJUSTMENT
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<br /> 'f: . rie. s , F }IS M res .
<br /> FILE NUMBER :
<br /> ACTlC �Z ► TINGATU�
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<br /> 10
<br /> J09I L ' ' Q R f, :THE= Pl O R`A`Y �R . AN AUTHORIZED AG 11T MAY ��L AN At�I��,�G�,C�'�C�N
<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
<br /> claim shall not relieve me of any obligation to indemnify, defend , and hold harmless the County. any
<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 : David Smith Signature : Datero -
<br /> Print Name : Irene SmithI1111111111 11 Signature :
<br /> Date :
<br /> Print Name : Date :Signature : �
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> Page 3 of 3
<br /> Updated 09/01 /2020
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