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r , AN< A � COMMUNITY DEVELOPMENT DEPARTMENT
<br /> ---caurv, Y MOUNTAIN HOUSE
<br /> USE PERMIT, SITE APPROVAL &
<br /> Greatness grows here.
<br /> IMPROVEMENT PLAN APPLICATION
<br /> FILE NUMBER:
<br /> -AUTHORaAWN SIGNATURES
<br /> ' 'ONL.'Y THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY"FILE' AN APPLICATION .
<br /> 1,the OwnerlAppllcant/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 tha applicail❑n and appiied for project or to
<br /> attack,set aside,vold,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 /> candlJons for the applied for project(hereinafter"Claim");
<br /> S.For any and all casts 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 assurtod 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 /> Z. DEFRNSE:
<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 ralleve me of any obligation to indemnify,defend,and hold harmless the County.
<br /> B.In the event of a disagreement between County and me rogarding 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 defenso 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 /> Legal property owner(owner includes partner,trustee, trustor,or corporate officer)orthe property(s)Involved in this
<br /> application,or
<br /> El Legal agent(attach proof of the owner's consent to the appiloation of the properties involved in this appiicatiori)and
<br /> have been authorized to file on their behalf,and that the foregoing application statements are true and correct.
<br /> Print Name: TAU14C-7.r.#2J JCA t n-\r,AS gna�ture: _ DOW.'
<br /> Print Name: _ _ Slgnature: - Data:
<br /> Print Name: _ — —_--- -- Signature: —_-- _ --- _ Dale; —
<br /> Print Name: __ Signature: Date: T Print Name! _—_ __- — - -- Signature: .-- -•-.-----_-_--- Date:
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