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SAN J O Q Q U I N �tOMMUNITY DEVELOPMENT DEPARTMENT <br /> BUSINESS LICENSE <br /> COU N T Y FILE NUMBER: L-- <br /> Greatr�ccs ;;rows herr <br /> FOR STAFF USE LY <br /> Response Due Date: <br /> Business Information Applicant Information <br /> Business(DBA) Name:USG Interiors _ Name:USG Corporation <br /> Mailing Address: 2575 E. Loomis Road Mailing Address: 550 W. Adams Street <br /> Stockton, CA 95205_ Chicago, IL 60661 <br /> Phone:209-466-4636 _ Phone:312-436-4000 <br /> Email:mraymer@usg.com I Email: <br /> Property Information <br /> Parcel NumberProperty Address City Cross Street <br /> A-assessor _ <br /> I-► - � - 2575 E. Loomis Road Stockton Hwy.99 Frontage Road <br /> Business Details <br /> Description of Business_Manufacturer of ceiling grid <br /> Type of Organization. ❑ Single Owner ❑ Partnership N Corporation N Other: <br /> Does the business include the sale of firearms? ❑Yes ❑■ No <br /> Number of Employees Hours of Operation Water Service Sewer Service <br /> Full Time Part Time Public ! Private(on-site) Public I Private(on-site) <br /> 27 - -- 0730 - 2330 X ❑ ❑ <br /> AUTHORIZATION SIGNATURES <br /> I,the Owner/Applicant/Agent agrees to indemnify,defend(with counsel reasonably approved by County),and hold harmless the County and its officers, <br /> officials,employees,agents, boards and commissions(collectively"County")as follows: <br /> 1.INDEMNITY: <br /> A. From and against any and all claims,demands,actions,proceedings, lawsuits, losses,damages,judgments and/or liabilities arising out of, <br /> related to,or in connection with the application and applied for project or to attack,set aside,void,or annul, in whole or in part,an approval of <br /> the applied for project by the County,the adoption of environmental review documents related to the applied for project, and any related <br /> 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 account of any Claim,except where such indemnification is prohibited by law, <br /> including but not limited to damages,costs,expenses,attorney's fees,or expert witness costs that may be asserted by any person or entity, <br /> private attorney general fees claimed by or awarded to any party against the County,and the County's costs incurred in preparing an <br /> 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 relieve me of any <br /> 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 authority to control the <br /> litigation and make litigation decisions,including, 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 <br /> utilize the Office of the County Counsel or employ separate outside counsel to represent or defend the County,and I shall pay the reasonable <br /> attorneys'fees and costs of such counsel. n n <br /> Print Name: Michelle Raymer Signature\V v�- (t ✓ Date: 8/15/2019 <br /> FOR STAFF USE ONLY <br /> General Plan Designation: Zoning Designation: L -L Use Type:�}-�. r. ll 44 _ „le e< «„ I <br /> Department Approved Denied Signature Date <br /> CDD: Planning Division <br /> Building ivision <br /> AN ---- ---------- --- <br /> Fire District: <br /> Environmental 14ealth Department ✓ -__ ` �1 - <br /> Department of Public Works <br /> MHCSD(if applicable) — <br /> Licenseapprovedfor: <br /> History: l' ( C _ ----- --- -- — <br /> Finalized by: Date <br />