|
SAN..:-'JOA�UfN COMMUNITY DEVELOPMENT DEPARTMENT
<br /> ----c oulv'r Y----- ADMINISTRATIVE/CONDITIONAL USE PERMIT
<br /> ,.��_�..�. e. :..� n,.,,-. FILE NUMBER:
<br /> 'LEVINE'ACT
<br /> Effective January 1, 2023, California Political Reform Act of 1 Wq, Gove ent Cotl¢§84308, known I have read and unders[a ntl
<br /> s the Levine Act, prohibits any San Joaquin County Board of Supervisor member from participating in that this ppsplication is
<br /> any agenda item involvin8 a discretionary land use permit or other entitlements if fhe Board member subjact�h a provisions:
<br /> has received any political contdbutiona from the owner, applicant, or agent for the owner or applicant J`
<br /> totaling more than$250 In the 12 months bafo ra tM1a daciaion(but not before January 1,2023)and for q Initial
<br /> the 12 months following the decision.The Act also prohibits an owner, applicant, or agent for the owner i� � 'R
<br /> or applicant from making a contribution of mora than$250 to a member of the Board of Supervisors f(� Z
<br /> while the item is pending and for the 12 months following the data a final decision is rendered. Date
<br /> PaJ.THORIZATION=SIGNATURES
<br /> ONLY THE OWNER OF THE PR OPERTY'OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> I, the Owner/ApplicanUAgent agrees to indemnify, defend(with counsel r nably approved by County), antl holtl harmless the County
<br /> and its officers, officials, employees, agents, boards and commissions(collectively"County")asfollows:
<br /> 1. INDEMNITY:
<br /> A. From antl against any and all claims, demands, actions, proceedings, lawsuits; losses, damages,judgments and/or
<br /> liabilities arising out of, related So, or In connection with the application and applied for project or to attack, set aside,void, or annul, in
<br /> whole or in part, an approval of the appliatl for project by the County,the adoption of environmental r w documents ralatadta the
<br /> applied for project, and any related development approvals or project conditions for the applied for project(hereinafter"Claim");
<br /> B- For any and all costs and expanses in red by the County on account of any claim, except where.such Intlemniicetlon is
<br /> prohibit¢d by law, inclutling but not limited to damages,rcosts, expenses, eKomey's fees,o expert witness costsdhat may ba asserted
<br /> by any person or enLty, private attorney general fees claimatl by or awarded to any party against the County, and the CounTy's costs
<br /> incurred in preparing an atlministrative recortl which are not paid by the petitioner.
<br /> C. Except as to the County's sola negligence or willful misconduct.
<br /> 2. DEFENSE:
<br /> A.Tka County may participate or direct the.tlefense of any Claim.The Eounty's actions Ih defense.of any claim shall not
<br /> relieve me of any obligation to intlemnify, defentl, and hold harmless the County:
<br /> B. In the avant of a disagreement between County antl me regarding defense of any Claim,the County shall have the
<br /> authority to control the litigation antl make litigation decisions, including, but not limited to,the manner in whictrthe defense is
<br /> cons uctetl.
<br /> C. If She County reasonably determines Shat M1aving common c sal.presents such counsel with a conflleT of Interest, or if 1
<br /> fail to promptly assume the defense.of any Clalmor to promptly employ counsel reasonably satisfactory to the Counky, than County may
<br /> utilize the Office of the County Counsel or employ separate outside Counsel to represent or defend the County, end 1 shall pay the
<br /> reasonable attorneys'fees antl costs oT such counsel.
<br /> I, further, certify under penalty of perjury that I am(check one):
<br /> CJ Legal property owner(owner includes partner,trustee,trustor, or corporate officer)of the proparty(s)involved in this application, or
<br /> ��Legal agent(attach proof oT the owner's consent to the application of the properties involved in this application)and have been
<br /> authorized to fila on their behalf, and that the foregoing application statements era true end correct.
<br /> 1��/�v �SA/,9n/.0� si tare: /o?-��97�-3
<br /> Print Name: gna �— Date:
<br /> Print Neme: Signature: Date:
<br /> Print Nama: Signature: Date:
<br /> Print Nama: Signature: pate:
<br /> Print Nama: Signature: Dale:
<br /> Page 6 of 6
<br /> o'sizarzaza
<br />
|