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SAN JOAQUIN COMMUNITY CEVELOF .dENT DEPARTMENT
<br /> ,.. ... _ 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 /> 1,the Owner/ApplicanVAgant 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 (collaMivaly"County")as
<br /> follows:
<br /> �. 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 connaMion 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 in rrad by iha County on account of any Claim, axcapY where such
<br /> indemnification is prohibited by law, including but not limited[o damages, costs, expanses, attorney's fees, or expert
<br /> witness coats that may ba assartetl by any person or entity, private attorney general fees claimed by or awarded to any
<br /> party against Yha 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 sola negligence or willful misconduct.
<br /> 2. DEFENSE:
<br /> A.The County may participate or diraM the defense of any Claim.The County's actions in defense of any
<br /> claim shall not relieve ma of any obligation to indemnify, defend, and hold harmless the County.
<br /> B.In[ha event of a disagreement between County and me regarding defense of any Claim, the County shall
<br /> have[ha 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 1 fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to
<br /> the County,than County may utilize the Office of the County Cou nsal or employ separate outside counsel to represent or
<br /> defend the County,and 1 shall pay the reasonable attorneys'fees and costs of such counsel.
<br /> 1,further, certify under penalty of perjury that I am (check one):
<br /> ® Legal property owner(owner includes partner, trustee,trustor,or corporate officer)of[he proparty(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 bean authorized to fila on their behalf, and that iha foregoing application statements era[rue and correct.
<br /> Print Nama: Mark V.Connolly, President Signature: ��— Da[a:_t'I/28/23_
<br /> Print Nama: Signature: Data:
<br /> Print Nama: Signature: Data:
<br /> Print Name: Signature: Date:
<br /> Print Nama: Signature: Data:
<br /> Page 3 of 4
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