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SAWc IiOMMUNITY DEVELOPMENT DEPARTMENT
<br /> � �� CO , - -Y} �Ile F
<br /> SITE APPROVAL
<br /> FLINE NUMBER .
<br /> 1iOti J IV, t ATci
<br /> at
<br /> ONLY11HE V"M IOPTHE PROP RW M ASV- ;AlLT OR F0 AGENT MAY FILEAN , APPUCATION
<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 /> 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 " Claim " ) ;
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<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 Countv may narticinate or direct the defense of anv Claim . The Countv ' s actions in defense of anv
<br /> claim shall not 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 /> IN
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<br /> I , further , certify under penalty of perjury that I am ( check one ) :
<br /> 0 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 /> have br? r? n authori7pri fin fila nn their hehalf nnrl that the fnrr� nninri nnnlirntfnn tztntPmPnte, mm. trf lm nnri rnrrnrt
<br /> Print Name : Luis Santiago Garcia Signature : vi: S etvt 1. D�� rv� c, rr�; r Date : 5/20 /2021
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
<br /> Print Name * nnatllrP nates (�
<br /> f�
<br /> Page 6 of 6
<br /> Updated 08/28/2020
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