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SANJOAQUIN COMMUNITY aEELOPMENT DEPARTMENT <br /> SUBDIVISION <br /> r I less r o r1 ,s hr k 000 <br /> It+ABE R : w ( UCS <br /> FILE NU <br /> LEVINE ACT <br /> Elliscfive Jenua 1 , 2023 Califomis Polktl �l Reform Act of 1974 , Govemment Code § 84308 , knewr} 1 kava mad and understand <br /> as the Levine Act ; prohi �ilts any Ston ,loerrar► lrr Caunly 84attJ of S► � rvtsor mernber from participating in that this �appl4c trvn 6a <br /> any si'� tij�SGt t ham. Provlelans. <br /> agenda item involving a dircmetlonery land use permit or ether entitlements If the Board member <br /> him rewivgd iiny political contributions front the owner, applicant. or agent ff) f the osnvrrer or applicant s <br /> totaling inure+ Ivan. $250 In they 12 rnonthe before tha decision ( but nc4 before Janikwy 1 , 2023 ) and for I10mal <br /> Vie 12 months ' ol owing the dodslon The Act also fxrahlbils an cwtsdr, aPpliCent , or ardent for the owner �+ <br /> or applicant frc► m making a contribution al more than S ? .50 to a member of the Bocird of SMarvisors b , <br /> wttUa rho item is pendirty and for tho 12 months tol .awkncl thea date a final decision 1 &4 rendered <br /> I <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION <br /> t , the Owne lApp4canMgent agrees to inderrrritfy . defend ( with ctrtrrlsel reasonably approved bey r; aurutyF . � md hcdd haimless tho County <br /> and its ciffiicem , officials , ernployees , agen[Sr boards and commissions ( Gakleclivelp ' County ' ) as follows : <br /> 1 INDE NITX . <br /> A , From and against any and all claims , dernands , actions , proce dings , tawsuas , tos6Gs , damages , udcdrnents andror <br /> clabitrties arlsir+p out of , ra" At+ed to , or In connection with the appilcatlon and applied foe project or to attack , sot aside , vold , or annril , In <br /> wttio6e car � n par , an approval of the applied for project by the County , the adoption of environmental review documents related to the <br /> applied for project , and any relaled developmen approvals cr pn: 4eot condAmons for thio applied far pru; ecl ( herelrtaftet '' C6a ►m " "p ; <br /> B . For any and all oosts and expen " s kncurma by rhes Cc roly un account of any Cloirn , except whore such indernnifrratlon is <br /> orahrl3ibed by tow , irrclud ng but not tlrr+ ptbd !o darnagasI costs , r+ xponse :. , attrarrley ' s Bios , or expert witnoss costa that may be asserted <br /> by any perm or entity , private attCwney general teQs cisimef� ror, ri tri any party agabnsl the County , and the County ' s Costs <br /> , cur <br /> nred in preparing an administraltve record which are not p'al - Ljy aw petro r , <br /> C , Except as to ti ►a County ' s sole negtigpilSee GC will + 1.1I 1Mi-SLOdUct , <br /> 2 D+EFL <br /> A , The County rrray p� arlicrctat$ or dlreca tyle detapse of any Claim The County ' s achene In defense of any cairn shall not. <br /> relieve me of any obligation to + rrdeninify , defend . and hold harmless the C+ourjty <br /> 8. In the event of a aisag,reement between Coun)N and me regardiN. defense of any Claim , the County shall have the <br /> dutholilty to control lh� e li:tigatron erg make Ittrgatlon decis1005 , including , but not limitod to , the manri. or in whicb the defense is <br /> sonducied <br /> C It the County reasonably determines that halving corrirt�ian couiasel preStnls such Goor"isel with a coo 'll- ict of Interest _ or If I. <br /> fail to promptly assume the defense of any Clain) or to promPtl ornploy counsel ronsonably satisfactory to the County , Mott County r ay <br /> utrleze It * office of the County Counsel or employ separate outside coiirtufii to represent oil dotend the County , and I shall pay 15, 0 <br /> reasonable attorneys ' fees and casts of sumer counsel . <br /> I . further , Wify under penarty of penury ihet I am ( check one ) :: <br /> Legal property owner (owner Includes partner , trustee , trusloa , or cocIporato otfim ) of the propertyye ;h if ) w,Oive�j if ) It-ils a;ppl< cation , or <br /> El Legal agent ( attach proof of the awrier" s owserif to the application of the propenies, involVed M tliks aPPI10111or1 ) an4 nave beorr <br /> authorized to NO can their behalf , and that the foregoing appllcabw slatements are trLrs and cornDct <br /> Randal Schmidt , Trustoo & 23 <br /> PrIn1 Name , igneture , <br /> I <br /> tnrint Name ; �„1 � signaxu Date ; <br /> Print Name , Signature . Dile : a - <br /> Print Name ; � IgnAture ; Bete -- <br /> Print Name : Signature . Cate <br /> Page 4 of 4 <br /> i a�tvtuz � <br />