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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT
<br /> �� � coul�ITv ADMINISTRATIVE/CONDITIONAL USE PERMIT
<br /> „ Grec�tn¢ss q,ows hire. FILE NUMBER:
<br /> LEVINE ACT
<br /> Effective January t,2023. California Political Reform Act of 1874,Government Cotler§84308,known I have read and undarsiantl
<br /> a the Lovina Act,prohibits any San Joaquin County Board Of Supervisor member from participating in thaI this application is
<br /> any agenda item involving a discretionary lantl use permit or other antttlamants if the Boartl member subject[o these provisions:
<br /> has received any politinal contribu[ipna from the owner, applicant.Or agent for the owner or applicant
<br /> totaling mora than$250 in the 12 moniha before the decision(but not before January 1,2023)and for Initial
<br /> the 12 months following the decision. Ther Act also prohibits an owner,applicant,o agent for the owner
<br /> or applicant from making a contribution of mora than$250 to a member of the Board of Supervisors
<br /> while the item is pending end for[ha t2 months following[he tlate a final tlacisicn is rantlared. Da[¢
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> I,the Owner/Applicant/Agant agrees to Indemnify,tlafantl(with counsel reasonably approved by County),and hold hannlesa the County
<br /> end its officers,officials, employees,egenW, boartla antl commissions(collectively"County")as follows:
<br /> �. INDEMNITY:
<br /> A. From antl against any antl all claims,demands,actions,proceetlings, lawsuits, losses,damages.7utlgmants antl/or
<br /> liabilities arising out of, related to,or In connection with the application and applietl for project or to attack,set aside, void,or annul, in
<br /> whole or in part,a approval of[he applied for project by[ha County,Iha atloptlon of environmental review documents relatatl[o[ha
<br /> applied for projacq and any related tlevelppmanf approvals or project conditions for[M1a applietl for project(hereinafter"Claim");
<br /> B. For any antl all costs and ezpensas incurretl by the County on account of any Claim,except where such indemnification is
<br /> prohibRatl by law, including bUt not limited[o tlamaaas,costs,expenses,attorney's fees,or expert witness costs that may ba asserted
<br /> by any person or entity,private attorney general fees claimatl by or awardetl fo any party against the County, and the County a costs
<br /> ncurrad In preparing a atlministrative recortl which are not paid by tM1a petitioner.
<br /> G Except as to the County's sola negligence or willful miscontluc[.
<br /> 2. DEFENSE:
<br /> A.Ther County may participate or tllrect the tlafansa of any Claim.TM1e County's acfions in tlafansa of any claim shall no[
<br /> relieve ma of any obligation to indemnify,defend,antl hold harmless the County.
<br /> B.In iha avant of a tlisagreamant between County and me regarding defense of any Claim,the County shall have the
<br /> authority[c control the 11[igation and make Iltlgatlon decisions, including, but no[limited[o,the manner in which the defense is
<br /> ondDpted-
<br /> C. If[he County reasonably determines that having common counsel presents such counsel with a conflict of Interest.or if I
<br /> fail to promptly assume[ha tlafansa of any Claim or t0 promptly employ counsel reasonably satisfactory to the County,[hen County may
<br /> utilize the Office of[ha County Counsel or employ separate outside counsel to represent or defantl[ha County,end I shall pay<ha
<br /> asonable attorneys'fees antl costs of such counsel.
<br /> I,further, certify under penalty of perjury that I am(check one):
<br /> 0 Legal property owner(owner indutlas partnaq trustee,hustor,or corporate officer)of the property(s)involved in[his application,or
<br /> Q La9al agent(attach proof of the owner's consent to the application of the properties Involved In this application)and have been
<br /> authorized to file on their behalf,antl tM1at the foregoing application ata[amants era true antl correct.
<br /> Print Neme: Gulbahar Saint sianature: r yaiPi Date: '1/23/2024
<br /> Print Name:
<br /> Jaswinder Kaur signature: ?zz¢uxiscx�a t�.E¢ut. Date: '1/23/2024
<br /> Print Names: Signature: Data:
<br /> Print Name: Signature: Data:
<br /> Print Name: sianature: Oats:
<br /> Pages 6 of 6
<br /> D3/2a/2D23
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