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CoMMUNITY DEVELOPMENT DEPARTMENT <br /> SAN 10AQUIN SITE APPROVALIUSE <br /> FILE NUMBER: _ <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN At <br /> AGENT MAY FILE AN APPLE hol ION <br /> i, the Owner)AppiicanliAgent agrees to indemnify defend(with counsel reasonably approved by County), and <br /> harmless the County and its officers. officials, employees, agents boards and commissions(collectively'County ) as <br /> follows: <br /> INDEMNITY: <br /> roceedings, lawsuits, losses, damage5. <br /> location and applied for project or to <br /> A. From and against any and all c+.aims, demands, actions. <br /> I ed for project by the County,the adoption of <br /> judgments and%or liabilities arising out of, related to,or in connection with the app � royals or pro}ect <br /> attack,set aside,void, or annul, sn whole or in part an approval of the app' <br /> environmental revieav documents related to the applied for project, and any related development app <br /> conditions for the applied for project(hereinafter`Claim'1, <br /> an account of any Claim, except where suck, <br /> B For any and al'.costs and expenses incurred t the County <br /> or entity,private attorney general fees claimed by or awarded <br /> not to any by the <br /> indemnifica#ion is prohl'oded 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 <br /> party against the Counh,� and the County s costs incurred m preparing an administrative record�rhich <br /> petitioner <br /> C. Except as to the County's sole negligence or willful misconduc <br /> 2. DEFENSE <br /> A. The County may participate or direct nhfi defense of <br /> andnh diaim. The County s harmless the Counttitions in defense of any <br /> claim shat(not relieve r►e of any obligation to rode y a din ,but not limited to, the rl-ann?r in which <br /> B. In the event of a disagreement betti^.'een Countytand <br /> ndons regarding defense of am%Claim. the County shall <br /> have the authority to control the litigation and make Irtrga.o <br /> ict Of <br /> the defense is conducted. <br /> Claim or to promptly employ cour sell reasonably satisfactory to <br /> C If the County reasonably determines that f anyhaving common counsel presents such counsel with a cOesler.t or <br /> interest,or it t fail to promptly assume the defense <br /> the County, then County may utilize the Q ice of tble e Cou ty Cou sel or em <br /> sucp counseutside counse to rep. <br /> defend the County, and i shall pay the <br /> I, further,certify under penalty of perjury that I am (check one) <br /> ■ <br /> Legal roperty owner (owner includes partner. trustee,trustor, or corporate officer)of the property(s) involved in this <br /> g p <br /> application or application) and <br /> [] Legal ager[(.attach proof of the�vner's consent to the application of the properties involved in this <br /> have been authorized to file h their behalf,and that the foregoing application statements are true and correct <br /> c <br /> Date <br /> �ianature <br /> Print Nam9. Dale. �— <br /> Sigr:ature. ��— <br /> Pr.nt Name: Date �----- <br /> Signature ,— <br /> Print Name Date r.----- <br /> Sigrature: <br /> Print NainW Date. `-- <br /> Signature: <br /> Print Name <br /> Page 6 of 6 <br />