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�' "-`� ', SANsJOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT
<br /> !" t-��:., ; �'/ cou nlTv LOT LINE ADJUSTMENT
<br /> --��,, Greer n.ess 9r ws here.
<br /> FILE NUMBER:
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHOR12E0 AGENT MAY FILE AN APPLICATION
<br /> 1,the Owner/Applicant/Agent agrees to intlamnify,tlefentl(with counsel reasonably approvatl by County), and hold
<br /> harmless the County and its officers,officials,employees, agents, boartls antl commissions(collecbvaly"County")as
<br /> follows:
<br /> 1. INDEMNITY:
<br /> A. From and against any and all claims,demands, actions, proceetlings, lawsuits, losses, tlamagas,
<br /> jutlgmants antl/or liabilities arising out of, related to, or in connection with the application and appiiatl for project or to
<br /> attack, sat asitla, 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 ralatatl to the appliatl for project,and any ralatatl development approvals or project
<br /> contlitions for the applied for project(hereinafter"Claim");
<br /> B. For any and all costs antl expanses Incurratl by the County on account of any Claim, except where such
<br /> intlamnification is prohibited by law, inclutling but not iimitatl to damages, costs,expanses, attorney's fees,or expert
<br /> witness costs that may ba assartatl by any parson or entity, private attorney 9¢neral fees claimed by or awarded to any
<br /> party against the County, antl the County's costs incurred in preparing an atlministrative record which are not paid by the
<br /> petitioner.
<br /> C. Excerpt as to the County's sola negligence or willful miscontluct.
<br /> 2. DEFENSE:
<br /> A.The County may participate or direct the tlefense of any Claim.The County's actions in defense of any
<br /> claim shall not relieve ma of any obligation to intlemnify, tlafentl, antl hold hagnlass the County.
<br /> B.In the event of a disagreement between County antl me regarding tlef¢nse of any Claim,th¢County shall
<br /> have the authority to control the litigation antl make litigation tlacisions, inclutling, but not limitetl to, [he manner in which
<br /> the tlefense is contluctatl.
<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,then County may utilize the Office of the County Couns¢I or employ separate outside counsel to represent or
<br /> defend the County, antl I shall pay the reasonable attorneys'fees and costs of such counsel.
<br /> 1,further, certify untlar penalty of perjury that I am(check one):
<br /> ® Legal property owner(owner inclutles partner,trustee, trustor, or corporate officer)of the proparty(s) involved in this
<br /> application, or
<br /> Q Legal agent (attach proof of the owner's consent to the application of the properties involvetl in this application)antl
<br /> have bean authorized to fila on their behalf,and thaT the foregoing application statements are true antl correct.
<br /> Print Nam¢: w1 i.SER tyre-toEz sianatnra: pa<e: l�lt�_��
<br /> Print Neme: Signature: Data:
<br /> Print Nama: � Signature: pate:
<br /> Prins Nama: Signature: pate:
<br /> Print Nama: Sianaiure: pate:
<br /> Page 3 of 3
<br /> 00/12/2023
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