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SAN J O AQ U I ly COMMUNITY DEVELOPMENT DEPARTM E14T SITE APPROVAL FILE NU'.'BER: AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION I,the Owner/ApplrranuAgent agrees to indemnify,defend (with counsel reasonably approved by County),and hold harmless the County and its officers, ofliaals hxnpluyees agents,boards and commissions(aotledivety'County)as follows: 1 INDEMNITY: A. From and against any and an claims,demands actions,proceedings.lawsuits, losses,damages, judgments and/or liabilities arising out of.rctatod to,or in connection with the apprcation and applied for projed or to attack, Set as do void or annul, in whole of in part,an apprtwal of the applied for project by the County,the adoption of environmental review documents related to the app ied for projed,and any related development approvals or project conditions for the applied for project(hereinafter'Clair'); B- For any and at costs and expenses incurred by the County on account of any Claim except where such indemnification rs prohibited by law, including but not limited to damages, costs,expenses,attomey's ICCs,of expert witness costs that may be a_suried by any person or entity,private attomrry general fees claimed by or awarded to any party against the County,and the County's costs incurred in preparing an admanistrative record which arr not paid by the petitioner- C.Except as to the County's sole negligence or willful misconduct. 2. D F N A The County may parucipate or affect the detsnsw of any Clain The County's actmns in defense of any c121m shall not relieve me of any obligation to ridermrfy,defend,and hold harmless the County B.In the event of a disagreement between County and me regarding defense of any Claim,the County shall ha,m the authority to control the litigation and make litgation decisions including but not limited to,the manner in which the defense cs conducted C_R the County reasonabily detemrne%that having common counsel presents such counsel with a conflict of interest or if I fad to promptly assume the deferme of any Claim or to promptly employ counsel reasonably satisfactory to the County,then County may utilize the Office of the County Counsel or empiby sepafale outside counsel to represent or defend the County, and I shalt pay the rwasonable of orneys'fees and costs of such counsel. further, certify under penalty of perjury that I am(check one): ❑ Legal property owner(owner includes partner trustee.trustor.or corporate officer)of the propeety(s)involved in this appbcation, or �] Legal agent (attach proof of the owners consent to the application of the properties involved in this application)rind have been authorized to file on their behalf,and that the foregoing application statements arc true and correct. Pr-t twine. Signature �- D,t.. 112 1 Z� Print Name: SrgnWam. Date: Print fame: signature- Date: N t Name Signature: Dat< Nnnt Name Signature. Date Parra 6 of 6 updvted mu-4010