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SAN JOAO U IN COMMUNITY DEVELOPMENT DEPARTMENT
<br /> couNTY T.
<br /> FILE NUMBER:
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION.
<br /> I, the OwnertApplicar,t'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, la,.vsuits, losses, damages.
<br /> Judgments and/or liabilities arising out of, related to, or in connection with the application and applied for protect or to
<br /> at-ack. set aside,void,or annul. in whole or in part, an approval o-the applied for project by the County, the adoption of
<br /> environmental review documents related to the applied fc-project, and any related development approvals or project
<br /> 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
<br /> indemnification is prohibited by law, including but not limited to damages, costs, expenses, attorney's 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 wnich are not paid by the
<br /> 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 eefense of any
<br /> claim shall not relieve me of any obligation to indemnify, defend, and hold harmless the County.
<br /> B. In:he event of a disagreement between County and me regarding defense o`any Claim. the County shall
<br /> have the authority tc control the litigation and make litiaatior decisions, including, but not limited to,the manner in which
<br /> the defense is condicted.
<br /> C. If the County reasonably determines that having common counsel presents such counsel with a conflict of
<br /> interest, cr if I fail to promptly assume the defense of any Claim or to pmmo1y 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 of such counsel.
<br /> I. further,certify under penalty of perjury that I am (check ore):
<br /> ❑ Legal property owner(owner includes partner, trustee, trustor, o-corporate officer',of the propertAs; involved in this
<br /> application, or
<br /> KZ Legal agent (attach proof of the ov.,ners consent to the application of the properties involved it this application) and
<br /> have been authorized to file on their behalf, and that the foregoing application statements are true and correc'..
<br /> Print Name. (ticnature: Dater �Z
<br /> Pnnt Name: L R G/ t�6C'L G�L? Signature: Da,eL—X �2
<br /> Print Name. HL-A //]-(A --][A` `• Signature:./��/ire; x�lf�c (f1l Dat111i z• U
<br /> Print Name. _ Signature: __........-___ Da,e:
<br /> Pa e 6 cf b
<br /> Updated D5t271,2020
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