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								      																																																COMMUNITY	DEVELOPMENT	DEPARTMENT
<br />																				S    Q    NtiJOAQUIN      																										ZONING 	COMPLIANCE 	REVIEW
<br />       												t  											COUNTY
<br />												AMEN
<br /> 													atk14%r 			Greatness  	grows  	here  .
<br />  																																																																																FILE      NUMBER  :
<br />    																																							AUTHORIZATION	SIGNATURES
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<br />      																THE     OWNER     OF     THE      PROPERTY     OR 	AN      AUTHORIZED     AGENT      MAY      FILE     AN     APPLICATION
<br />    																	er/Applicant/Agent    agrees     to     indemnify ,      defend      (with     counsel      reasonably     approved      by     County )  ,      and      hold
<br />      																	he     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 />   													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 />  																					8   								L  		��     m �J       	Si 	nature :     																																		Date :
<br /> 									Print     Name  :  																																	9
<br /> 									Print     Name  :    	�,�IV�{/ �s<       																				Signature :     																																		Date  :
<br />  									Print    Name  :      																															Signature  :      																																		Date  :
<br />  									Print    Name :      																															Signature :     																																		Date :
<br />  									Print     Name  :      																															Signature :      																																		Date  :
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