COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

r � a � N COMMUNITY DEVELOPMENT DEPARTMENT BUSINESS LICENSE COU NTY FILE NUMBER:F ' - - _ FOR STAFF USE ONLY Responsue De: Busin Info" ation Applicant Info ation Business(DBA) Name: Name: _.._. —_ .—.._.. -- — -- --- ------- -- ... -..... _ Mailing Address: • Mailing Address ,/ 7 -- - _ __.Gt ..rn&fir- —F --c .__..� -- / - Phone: -- - __.. _ ...... _......_ :._ Phone: .. --- - - _...._ . -- C`--- --- ---. Email: Email: Property Information Assessor Parcel tuber PXoper..y Addr ss City Cross Street_ siness Details Description of Business: Type of Organization: Single Owner ❑ Partnershi _— p El Corporation ❑ Other: Does the business include the sale of firearms? ❑Yes RNO Number of Employees Hours-of Operation Water Service Sewer Service Full Time Part Time Public Private (on-site) Public i Private (on-site) ❑ ❑ NOTE:ANY-CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. AUTHORIZATION SIGNATURES I,the Owner/Applicant/Agent,agrees to indemnify,defend(with counsel reasonably approved by County),and hold harmless the County and its officers,officials, employees,agents,boards and commissions(collectively"County")as follows: 1. INDEMNITY: A.From and against any and all claims,demands,actions,proceedings,lawsuits,losses,damages,judgments and/or 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 whole or in part,an approval of the applied for project by the County,the adoption of environmental review documents related to the applied for project,-and any related development approvals or project conditions for the applied for project(hereinafter"Claim"): 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,including but not limited to damages,costs,expenses,attorney's fees,or expert witness costs that may be asserted by any person or entity,private attorney general fees claimed by or awarded to any party against the County,and the County's costs incurred in preparing an administrative record which are not paid by the petitioner. C.Except as to the County's sole negligence or willful misconduct. 2. DEFENSE: 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 obligation to indemnify,defend,and hold harmless the County. 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 litigation and make litigation decisions,including,but not limited to,the manner in which the defense is conducted. 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 utilize the Office of the County Counsel or employ separate outside counsel to represent or defend the County,and I shall pay the reasonable attorneys'fees and costs of such counsel. I,the Owner/Applica ent, ffirm all 4e i5foaation above is true and correct,1jtfcXr en of pe Print Name: enignature: Date: FOR STAFF USE ONLY- General Plan Designation:— Zoning Designation: "= L_ Use Type: Department Approved Denied Signature Date CDD:Planning Division ��S_ —� , — /2 /✓� Building Division Enforcement Division Fire DistrictfWar ' Environmental Health Department J - _SU�Q 3$. 5�_ 5 la •a0 Department of Public Works MHCSD(if applicable) License approved for: 1- C1C. .._..... � J History: . L - j ► I C �f -- t Finalized by: Date