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MMUNITY
<br /> SQ N J O Q Q U I 11 CO ADM NISTRAT VEL ND rN NA�DEVELOPMENTDEPARTMENT
<br /> PPERMIT
<br /> COUNTY- :_-
<br /> clreolness (bows he'e, PILE NUMBER:
<br /> LEVINE ACT
<br /> Effective January 1,2023,California Political Reform Act of 1974,Government Code§84308, known I have read and understand
<br /> as the Levine Act. prohibits any San Joaquin County Board of Supervisor member from participating in that this application is
<br /> any agenda Item involving a discretionary land use permit or other entitlements if the Board member subject to these provisions:
<br /> has received any political contributions from the owner.applicant,or agent for the owner or applicant ,
<br /> tolaling more than$250 in the 12 months before the decision(but not before January 1,2023)and for
<br /> the 12 months following the decision The Act also prohibits an owner,applicant,or agent for the owner Initial
<br /> or applicant from making a contribution of more than$250 to a member of the Board of Supervisors Y i_2 J
<br /> while the Item is pending and for the 12 months following the date a final decislon is rendered. Date
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> I,the Owner/Applicant/Agent agrees to indemnify,defend(with counsel reasonably approved by County),and hold harmless the County
<br /> and its officers,officials,employees,agents, boards and commissions(collectively"County")as follows:
<br /> 1. INDEMNI"t'Y:
<br /> A.From and against any and all claims,demands,actions,proceedings,lawsuits, losses,damages,judgments and/or
<br /> liabilities arising out of, related to, or in connection with the application and applied for project or to attack,set aside,void,or annul, in
<br /> whole or in part,an approval of the applied for project by the County,the adoption of environmental reviow documents related to the
<br /> applied for project,and any related development approvals or project conditions for the applied for project(hereinafter"Claim");
<br /> B For any and all costs and expenses incurred by the County on a=ijnt of any Claim,except where such indemnification is
<br /> prohibited by law,including but not Ilmited to damages,costs,expenses, attorney's fees,or expert witness costs that may be asserted
<br /> by any person or entity, private attorney general fees Claimed by or awarded to any party against the County,and the County's costs
<br /> incurred in preparing an administrative record which are not paid by the petitioner
<br /> C. Except as to the County's sole negligence or willful misconduct
<br /> 2. DEFENSE:
<br /> A.The County may participate or direct the defense of any Claim.The County's actions in defense of any claim shall not
<br /> relieve me of any obligation to Indemnify,defend,and hold harmless the County.
<br /> B. In the event of a disagreement between County and me regarding defense of any Claim,the County shall have the
<br /> authority to control the litigation and make litigation decisions,including,but not limited to,the manner in which the defense is
<br /> conducted.
<br /> C.If the County reasonably determines that having cornmon counsel presents such counsel with a conflict of interest,or if I
<br /> fail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County,than County may
<br /> utilize the Office of the County Counsel or employ separate outside counsel to represent or defend the County,and I shall pay the
<br /> 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,tfustee,trustor,or corporate officer)of the property(s)involved it)this application,or
<br /> m Legal agent(attach proof of the owner's consent to the application of the properties Involved in this applanation)and have been
<br /> authorized to file on their behalf,and that the foregoing application statements r rue and correct.
<br /> Print Name, Richard Jenkins Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: .. Signature: -- -- -- �- pate;
<br /> Print Name; Signature: _ Date:
<br /> Print Name; Signature: Date:
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<br /> 03/28/2023
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