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COMMUNITY DEVELOPMENT DEPARTMENT
<br /> SANJO 4
<br /> �, AQUIN TY
<br /> ADMINISTRATIVEXONDITIONAL USE PERMIT
<br /> Co : 4FILE 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 /> Z DEFENSE :
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<br /> k 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, defends 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 /> �Q t _ / � _X Q✓ Date : 5
<br /> Print Name : i�� `i � r' � � Signature: � _
<br /> coor
<br /> Print Name: Signature: Date:
<br /> Print Name : Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name : Signature: Date :
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