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SAN JOAOUI�
<br />-COUNTY-
<br />COMMUNITY DEVEL "PMENT DEPARTMENT Mt>f d� SUBDIVISION
<br />Greotness grows here.
<br />FILE NUMBER: -------
<br />AUTHORIZATION SIGNATURES
<br />ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN 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 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 />atta?k, set aside, �oid, or annul, in whole or in part� �pprov�I of the applied for project by the County, the adop�ion of
<br />environmental review documents related to the app1Ted for 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 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 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 />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 />l}J. Legal property owner (owner includes partner, trustee, truster, or corporate officer) of the property(s) involved in this
<br />application, or
<br />D 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 Nam&��. '}W /J�'
<br />Print Nam:eJ1cflft!--'K, ).\CC.'('S,·t l
<br />Print Name:
<br />Print Name:
<br />Print Name:
<br />Signature:
<br />Signature:
<br />Signature:
<br />Signature:
<br />Signature:
<br />Page 4 of 4
<br />Date:
<br />Date:
<br />Date:
<br />Date:
<br />Date:
<br />t O l�Lrz__l' ,
<br />08/13/2021
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