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<br /> FILE NUMBER .
<br /> AUTHORIZATION SIGNATURES
<br /> ILONLY 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
<br /> harmless the County and its officers , officials , employees , agents , boards and commissions ( collectively " County' ) as
<br /> follows :
<br /> 1 . 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 connection with the application and applied for project or to
<br /> ►ul 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 /> il
<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 /> D . For any and all costs and expenses incurred by the County on account of any Claim , except where such
<br /> indemnification is prohibited by law , including but not limited to damages , costs , expenses , attorneys fees , or expert
<br /> witness costs that may be asserted by any person or entity, private attorney general fees claimed by or awarded to any
<br /> party against the 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 sole negligence or willful misconduct .
<br /> 2 . DEFENSE :
<br /> I
<br /> A . The County may participate or direct the defense of any Claim . The County' s actions in defense of any
<br /> claim shall not relieve me of any obligation to indemnify, defend , and hold harmless the County .
<br /> D . In the event of a disagreement between County and me regarding defense of any Claim , the County shall
<br /> have the 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 I 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 Counsel or employ separate outside counsel to represent or
<br /> defend the County , and i shall pay the reasonable attorneys ' fees and costs oT Such CUUriSei .
<br /> I , further certify under penalty of perjury that I am ( check one ) :
<br /> Legal property owner ( owner includes partner , trustee , trustor , or corporate officer ) of the property( 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 /> I 1 - _ _ 1 { .[: _ 11 L L It J LL _ 1 1L _ I _ _ _ .. � _. ... 1 : _ _ 1 ' _ L 1 } }
<br /> nave been autnorized to file on their behalf , al IU U ldt It 1U IUIU, i � �1� c1F1 ( J ' ication sla &ni entJ are true ai Id iter r ell .
<br /> Print Name : Al V4 4rl V Signature : % "� y ` �I I . � ~ �; Date :
<br /> r=l r
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> - -- - ^ _ s ^
<br /> rage ® or 6
<br /> Updated 08/22/2019
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