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								      																			SAN	-    JOAQUIN  								COMMUNITY	DEVEL 		)  PMENT 	DEPARTMENT
<br />																								C     O    U      N    T    Y       																															ZONING 	COMPLIANCE 	REVIEW
<br />  																																																																											-	PRIVATE  	RIGHT	OF	WAY
<br />     																																																																																	FILE       NUMBER  .
<br />   																																							AUTHORIZATION	SIGNATURES
<br />   									ONLY    THE      OWNER      OF      THE       PROPERTY     OR  	AN      AUTHORIZED      AGENT      MAY      FILE      AN      APPLICATION
<br />      							I  ,      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 :      																																																																																									I
<br />  																																																																																																																		I
<br />     																	dl .       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					�  I
<br />      							conditions    for    the     applied     for     project     ( hereinafter    "  Claim "  ) ;
<br />						j  !      											B  .      For     any     and      all      costs     and      expenses      incurred      by     the      County     on      account     of     any     Claim  ,      except    where     suchIf
<br />  																																																																																																																		� I
<br />      							indemnification      is      prohibited      by     law ,      including      but     not     limited     to     damages  ,      costs  ,      expenses  ,      attorney ' s     fees ,      or    expert    					i
<br />      							witness     costs     that     may     be      asserted      by     any      person      or     entity ,      private     attorney     general     fees      claimed      by     or     awarded     to     any			I
<br />						j      	party    against    the      County ,      and      the      County ' s      costs      incurred      in      preparing      an      administrative      record     which      are      not     paid      by    the
<br />       							petitioner.
<br />						i 												C  .      Except     as     to     the      County' s     sole      negligence      or    willful      misconduct  .
<br />  																																																																																																																		i
<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 />						ii 	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     foregoin			pplication      statements     are     true     and      correct  .
<br />   							Print    Name  :				Jall   								�tS   													Signature  :      																																			Date  :
<br />   							Print    Name  :  					G  		J74  																					Signature      																																			Date  : 										Z
<br />    																																																																																																					It
<br />   							Print     Name  :       																																Signature  :      																																			Date  :
<br />    							Print     Name :      																																Signature  :      																																			Date  :
<br />    							Print     Name  :      																																Signature :      																																			Date  :
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