| 
								       			SAN  JOAQUIN   	COMMUNITY DEVEL(   WENT DEPARTMENT
<br />       			--C c-u NT V    -       						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 />  	parry 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 />		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 />     																	J41Print Name:�Je�"Ae  V 1(h $toric)		Signatu  .�  						Date:       2(t  L?
<br />  	Print Name: 	r  ov  6-`-i--S       	Signa ure:   						Date:V						A
<br />												4
<br />  	Print Name:  		K 			Signature:    			mo�  	Date:
<br />  	Print Name:      					Signature:   						Dates
<br />  	Print Name:      					Signature:   						Date:
<br />       									Page 3 of 3
<br />     																	Updated 09/01/2020
<br />
								 |