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COMMUL NIT DEVE OPIYN
<br /> ENT DEPARTMENT} WJ0A Q U I - N ® MAPAMENDMENT� Y
<br /> FIDE NUMBER .
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<br /> 41 -1 1LVtQCT N �
<br /> Ihave read and understand
<br /> Effective January 1 , 2023 , California Political Reform Act of 1974 , Government Code § 84308 , known that this application is
<br /> as the Levine Act, prohibits any San Joaquin County Board of Supervisor member from participating in subjec� to t se provisions :
<br /> any agenda item involving a discretionary land use permit or other entitlements if the Board member >
<br /> has received any political contributions from the owner, applicant , or agent for the owner or applicant
<br /> totaling more than $ 250 in the 12 months before the decision (but not before January 1 , 2023) and for r '
<br /> the 12 months following the decision . The Act also prohibits an owner, applicant, or agent for the owner Initial
<br /> r.?
<br /> or applicant from making a contribution of more than $ 250 to a member of the Board of Supervisors
<br /> while the item is pending and for the 12 months following the date a final decision is rendered . Date
<br /> _. .. .._.
<br /> At1" RNP. o �N0.iATU � _
<br /> .: . ONLY T'HE aW. ICER � F'7}� E TROPE. t2TX: QR �N"�►.UT�IQI�I2ED A�ETf'f_ t1��lY FIL� AN APPLI.�ATLQN . . .. .:..
<br /> I , the Owner/Applicant/Agent agrees to indemnify , defend (with counsel reasonably approved by County) , and hold harmless the County
<br /> and its officers , officials , employees , agents , boards and commissions (collectively " County" ) as follows :
<br /> 1 . INDEMNITY :
<br /> A . From and against any and all claims , demands , actions , proceedings , lawsuits , losses , damages , judgments and /or
<br /> liabilities arising out of, related to , 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 applied for project by the County , the adoption of environmental review documents related to 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 expenses incurred by the County on account of any Claim , except where such ification is
<br /> ndemni
<br /> prohibited by law , including but not limited to damages , costs , expenses , attorney 's fees , or expert witness costs that may be asserted
<br /> by any person or entity , private attorney general fees claimed by or awarded to any party against the County , and the County ' s costs
<br /> incurred in preparing an administrative record which are not paid by the petitioner .
<br /> C . Except as to the County' s sole negligence or willful misconduct.
<br /> Z . DEFENSE :
<br /> A . The County may participate or direct the defense of any Claim . The County' s actions in defense of any claim shall not
<br /> 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 have the
<br /> authority to control the litigation and make litigation decisions , including , but not limited to , the manner in which the defense is
<br /> conducted .
<br /> C . If the County reasonably determines that having common counsel presents such counsel with a conflict of interest , or if I
<br /> m or to promptly employ counsel reasonably satisfactory to the County , then County may
<br /> fail to promptly assume the defense of any Clai
<br /> utilize the Office of the County Counsel or employ separate outside counsel to represent or defend the County , and I shall pay the
<br /> reasonable attorneys ' fees and costs of such counsel .
<br /> I , further, certify under penalty of perjury that I am (check one ) :
<br /> ner, trustee , trustor, or corporate officer) of the property (s ) involved in this application , or
<br /> Legal property owner ( owner includes part
<br /> ❑ appllca#ion of the properties involved in this application ) and have been
<br /> Legal agent ( attach proof of the owner' s consent to the
<br /> authorized to file on their behalf, and that the foregoing application statements are true and correct .
<br /> Robert BrOWl1 Signature : ` Date : :! t �y
<br /> Print Name: J
<br /> Si nature : Date:
<br /> Print Name : g
<br /> i
<br /> Print Name : Signature: Date :
<br /> Print Name : Signature : Date :
<br /> Print Name : Signature : Date :
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<br /> 04126 !2023
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