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<br /> L . . r LINE ADJUSTMENT
<br /> FILE NUMBER :
<br /> AUTHORIZATION SIGNATURES •
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> 1 , 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 /> Q 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 prof 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.
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<br /> Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: Signature : Date:
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<br /> Updated 09101 /2020
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