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SITE MDRESS; E R M I T WQ�- <br />Riot <br />PUM. <br />1, fie OwnedAWKaMimased WeC Dnas::Pump Contractor agrees :c mdwxdy, dderd wth c*umpl reaso-kWy aMwied by OwA*y, 00 hW Wndess <br />ft C4LwMj and its ofters• off=ads. arVoye" aqw-.U. twards, and canwrdssms fcialley r --r., -- rouny'i as fagov's. <br />!� <br />4. IrWernfl-4.; <br />a. From and against any and aJ' cJaLrr*, ::ern -ands. =ons, prcceWzSs. lawsuits, mases darts. judrd-nents andfor lisixithes "skV <br />fyA of, related to, or in comection, vAth VA application and applied for wJ or pump or to atu-:Ck, Wt SU18, VCkl. 0, afNIUL in Wh011s or in <br />part. appmvai or dankal of the appiad W permit cy the County, ana any environmental review 4nauments related tD the appW for <br />perm:l. <br />b. For any and all costs and expenses ina-wred by Ow County on account of any Clain, except %bara such iWernnilicaWn s proho�bnte,i <br />Iy laiV.rut rO Ftell to daMa. 826, expenses, arwjs 6es� or expert wibussCost-" trey W fssertw t arty <br />Person or anur{ private attanoy g*neraJ fees ciaorned t or awarded to any pwW agarrst the County, and the C--unty's costs mcurrez' <br />r propparMwi.3emininubve rec:ard whicli airs wt paid bv the Petitioner. <br />C. Ekeep as In the CoL"y s We neq4lence orwiftl rnksconoduct <br />a. The any Cla,,rr. -IheCourvtvs arAom tr, defer*eolai-rj curt shaft not rel -eve ase &an,i <br />ok*ga+jor, to mdwwaly, Mend. arid laid Nmiless tf* Cour,�,/. <br />b. 1- 1* event of a between Dxj* and me regarding ce;tmse of w-n!.aim. trio „�wjty have ft autt%onty :Q cortro. <br />t4,- libqahor and make ht-gatinn dam iors. meWWQ, bLt not kmdErz t*.!he manner 0 4'.Ch " dekr---s conducte'd <br />I'CrAmity wwuadily latew.unes " ftving cem.mon cotor'81 pa-sents such courtse; a. t a --wifacli c' mlerest or q I M4 'iG promptly assume tr* ce-fanse or <br />an IP tzn� Cow empi <br />y Claim or to prom emoay counsel rsasoref* safift2ory to the County, #w �k-:.nty may LAtilim ft O�" ca c; J . Qo sei or ol, <br />apar&eotds0ecot*"Wiofoprommordehpd Pwf'Nxt and I shag Mtheressonat-t, ir.xr--rrs' fees <br />I HEREBY CERTIFY THAT I HAVE PREPARED TM APPLICATMN AND THA, THE 'A-CRK WILL BE DCONE IN ACCORDANCE 'AM SA . <br />JOAQM COMM ORMNANCES, STATE L4WS. AuND RULES AND RMWLAT;0NS. I ALSO CERTIFY THAT MY REQUIRED LICENSE :S <br />CURRENT AND ACTFVE V417= THE CALIFORNIA CONTRACTORS STATE Li --'-:NSE BGA-ni AND THAT I AV IN C01MIJANCE 'W—iIN —A, <br />WORKERS COMPEMATIC',' ;-kWS. <br />PROPW. y 04- FR: <br />S": Pomr. V, DA'.rE <br />-04raW. PrAw-A c�. Lvi.,i6wa, y DATE 3 e <br />AU MORIZATION FOR MMER THAN C-57 SIGNING PERMIT APPLICATION <br />I — - I hereby authorise <br />ti. -V 0 C.? t - f"'. 1tPPCCWV4VNW P -M Nan*,V UAW �-, Aeca <br />to sign this San Joaquia County Well & MIMI* earml Appficstk= cm my b"f. I mxkmwmd this authonzation is valid parr Poe Year and <br />i% to the work- plan dated oa dw &9M pa <br />_= of dj6- applicAtim <br />