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- ��-_ SAN ��JOADUIN COMMUNITY DEVELOPMENT DEPARTMENT ,� L..F � �. '; - coul�ITv MAJOR SUBDIVISION •yj_,n-�Ti� Gr¢a[Hess grows hare. FILE NUMBER: AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAV FILE AN APPLICATION I, the Owner/Applicant/Agan[agrees to indemnify, defend (with counsel reasonably approvetl by County), antl hold harmless the County and its officers, ofFlcials, employees, agents, boards and commissions(collactivaly"County")as follows: 1. INDEMNITY: A. From and against any and all claims, demands,actions, proceedings. lawsuits, losses, tlamagas, judgments and/or liabilities arising out of, related to,or in connection with the application and applietl for project or to attack,sat aside, void,or annul, in whole or in part, an approval of the appliatl for project by the County,the adoption of environmental review documents related to the applied for project.antl any related development approvals or project wnditions far the applied for project(hereinafter"Claim"); B. For any antl ail costs and expanses incurretl by the County on account of any Claim,except wM1ara such Intlemnl£cation is prohibited by law, inclutling 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 claimatl by or awarded to any party against the County, and the County's costs incurred in preparing an atlministrativa record which are not paltl by the petitioner. G. Except as to the County's sole negligence or willful misconduct. 2. DEFENSE: A-Tha County may participate or direct the defense of any Claim.Tha County's actions in tlafanse of any claim shall no[relieve ma of any obligation to Indemnify, tlafand, and hold harmless the County. B. In the avant of a disagreement between County and ma ragartlin9 tlafanse of any Claim.the County shall have tM1e authority to control iha litigation and make litigation tlacisions, inclutling, but not limited to.the manner In which the defense is conducted. C. If the County reasonably determines that having common counsel presents such counsel with a conFlict of Interest,or if 1 fail to promptly assume[he defense of any Claim or to promptly employ counsel reasonably satisfactory to the County,then County may utilize the office of tM1e County Counsel or employ separate outsitla counsel to represanf or defend the County, and 1 shall pay the reasonable attorneys'fees antl costs of such counsel. I,furt , certify untler penalty of perjury that I am (check one): Legal properly owner(owner inclutles partner,trustee,trustor,or corporate ofFlcer)of the property(s) involvetl in this application, or Q Legal agent(attach proof of the owneYs consent to the application of the properties involvetl in tM1is application)and have been/au�th�ori�sed to fila on[heir behal/f, antl[hat the foregoing application statements era true and correct.. Print Name: /�-F��hA nt. �4�f4-i1 Signature: Dale: 2- �-L / Print Name: f"�-^�us�.�-r�-/�r ��G / p5}'gna(t�u r�a: Data: Print Nama: D�4 'Sig ar( [ui-6� � Data: Print Nama: Signature: Date: PrinT Nama: Signefura: Data: Pages 4 of 4 upast�e oalzaimzo