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<br /> J N IV J U A V U 114 BUSINESS LICENSE
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<br /> Property Information 1
<br /> I A,ecocenr Parrpl Mlmhpr } Prorprty Arlrlrpec { r;h1 { CrnSc Clrpol {
<br /> asp ��o as c?r;J>l-•H.►A4
<br /> Rllcinaes Ilefalils (
<br /> { D f.G:Iptl,:n of Business:
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<br /> { Does Ute business include the safe of firearms i, ❑'r'es No {
<br /> I—Number nl FmnlnvAAs I Hnurs of opi-ration Water Service. I SAWpr Servicp
<br /> Full Time Part Time t7 -'1 G" ^ "� �" Ottr'i PublicPrivate Inn_cirn_1 Piihlir Pnvnip!�n-citpi
<br /> W)TF-A►IY rHAMnc(-"c nrrlJoAW7Y M?AY REO-1PRE Ptlf}n }n lMPPf)\rFME!iOTS Aup NECESSARY 8UfLL)II•W-DFo!`fhtTQ
<br /> AUT HORiLA 1 iON SiGNA TURES
<br /> 1,Ure utirfraiiry�l)i�l.df i�..•yeiii,dor daa lu Nllidflil ufY,d""';(VIII.wurl:,ai rdd�wloi.iv dyyf tired UY C.,Or Yi .al•d IIuIJ iidwi;es]tile Cclw ily di lJ lie uili�er a,uirludw,
<br /> employees,agents.boards and commissions(coliectiveiy County)as ioiiows:
<br /> 1 INnFMNITv.
<br /> A.From and against any and all claims,demands,actions.proc-__6nge, "Arnr I'S lrylili- RneiP.ni Mrl nr,IPIaI?t1 In nr in
<br /> connection with the application and applied for project or to attack.set aside,void,or annul,in whole or in part,an approval of the applied ful plujeci by the j
<br /> County.the adoption of environmental review documents reiated to the applied for projectand any related development approvals or project conditions for f
<br /> the applied for prefect(hereinafter-Claim):
<br /> _.%.ail,.:,fu til. 4r..J,i...i Jy u..:CuJ10r u.,
<br /> not limited to damages,costs,expenses,attorney's fees•or expert witness costs that may be asserted by any person or enbhy,private attorney yenerai fees
<br /> r•laimed by nr ewarrlorl In env nartv arlainsf the CrnmN and Iho CrvinlJe rn04 inrnrrorl In PrPriminn an aAminiakafive rocnrd which nn,no,nekf by Ihp
<br /> petitioner.
<br /> C.Except as to the County's sole negligence or willful misconduct.
<br /> t.utrenat:
<br /> A.The County may participate or direct the defense of any Claim.The County's actions in defense of any claim shall not relieve me of any obligation to
<br /> I i::ac-s.ir; _:,' a •c' Scr-l__s t.11c C ugh;.
<br /> B.In the event of a disagreement between County and me regarding defense of any Claim,the County shall have the authority to control the litigation and
<br /> make litieation decisions inctudino.but not limited to the manner in which the defense Is conducted
<br /> C.If I fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County,then County may utilize the Office
<br /> of the County Counsel or employ separate outside counsel to represent or defend the County,and 1 shah pay the reasonable attomeys'fees and costs of
<br /> auciI uuunsei.
<br /> 1,the Owner/A Iican A nl,affirm all the information above is true and correct undehilitnalty o pe
<br /> Print Name: J�/ /t/'% 11 VP,4 i f Signature: Date:
<br /> 1'V�\J• L ILLI
<br /> General Plan Designation: ti Zoning Designation: -20 Use Type:F6 tit e1_TA15LtSt4-%46,1 J&_-T/N,ktA JT Fvti_S_EOt.(L65
<br /> Department Approved Denied Jr�,K Signature Date
<br /> I CUU.Planning Division T.t 174W/-�iJ
<br /> Building Division
<br /> Enforcement Division
<br /> Fire DistrictMarden: S �` p Q�, J 1
<br /> En*onmenlsl Health mwv,41 I ✓ LUX)1(D(b 0 8 �'v � . aO�4 I
<br /> Department of Public Works
<br /> MHCSD(it applicable)
<br /> License approved for. j2"r1tJ•IAr)T WSh9r rtAcy ULF ktro CCiOTrtY Clv'(j. i1eP�c{fib
<br /> lb,- 2200"L z-7
<br /> History:f3t_-L'ZCC cl-7 yit.i '-1-)123 Pit.-`7-01 lef L Rif-`)IS -0011
<br /> Finalized by: Date
<br /> 35200 5 chr � Sm�
<br /> Q(L o53y9y � S
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