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SA
<br /> W] O COMMUNITY DEVELOPMENT DEPARTMENT
<br /> CO JNTY LOT LINE ADJUSTMENT
<br /> FILE NUMBER :
<br /> AUTHORIZATION SIGNATURES
<br /> Pthe
<br /> THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
<br /> ner/ApplicantlAgent 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 /> I
<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 . DEF---� _E .
<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 /> Q Legal property owner (owner includes partner, trustee , trustor, or corporate officer) of the property ( s) involved in this
<br /> application , or
<br /> [l 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 Name : l�d Vf 1 I loe {' Signature : � ` '� - "l� if V
<br /> /Z Date :
<br /> Print Name : tmd Gl, aY Signature: Z7
<br /> Date :a 101
<br /> Print Name : , u k 1p Signature: to �� o3
<br /> � Date :
<br /> Print Name : G1rm%o ToNr Signature : Z � �3
<br /> Date :
<br /> Print Name : Signature :
<br /> Date :
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