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<br /> SIGN :� I (JU �� ��d��}�I����i I. I'-IF I:��:��� s�,�����+�� ;�@�Y 117)EP RI'�IV.—H
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<br /> AUTHORIZATION SIGNATURES
<br /> 2NLYT'HE 0WNER.:0F TK-- PRC7Pt~ 17Y OR AN AurHORIZED AGENT IVIA FILEAN 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 offroers, officials, employees, agents,boards and commissions(collectively"County")as
<br /> followsNDEMNITY:
<br /> :
<br /> 1.
<br /> A. From and against any and all claims,.demands,actioria,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 /> 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 /> environmental review documents related to the applied for project, and any related development approvals or project
<br /> conditions for the applied for project(hereinafter
<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,attor'ney'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 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 /> A.The County may participate or direct the defense of any Claim.The County's actions In defense of any
<br /> claim shallriot 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
<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 of such counsel.
<br /> I,further,certify under penalty of perjury that I am (check one):
<br /> R/Legal property owner(owner includes partner, trustee,trustor,or corporate officer)of the property(s) involved in this
<br /> application,or
<br /> LI Legal agent(attach proof of the owner's consent to the application of the properties involved in this application)and
<br /> have been authorized.to file on their behalf,and that the foregoing application statements are true and correct.
<br /> Print Name:J_Yn M V —sig—nalure- Date:
<br /> Print Name: -e Cc I2 i'Z 2. �' fes'���1' Sign u Date:_
<br /> Print Name: Signature: ��Date:.
<br /> Print Name: Signature: ___._- Date:
<br /> Print Naive: _` Signature: Date:
<br /> Updated 0412912019
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