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SU0015171
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACOB BRACK
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18299
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2600 - Land Use Program
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PA-2200198
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SU0015171
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Entry Properties
Last modified
12/13/2023 4:54:08 PM
Creation date
11/14/2023 9:52:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0015171
PE
2620
FACILITY_NAME
PA-2200198
STREET_NUMBER
18299
Direction
N
STREET_NAME
JACOB BRACK
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01109022
ENTERED_DATE
9/20/2022 12:00:00 AM
SITE_LOCATION
18299 N JACOB BRACK RD
RECEIVED_DATE
11/9/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN <br /> --- COUNTTY - � <br /> AWHOR AT ON SIGNATURES <br /> AM 0%%*R a r c nr OR M AUTI AGM MAY 110 AN .tc��aN <br /> 1 , the Owner/Applicant/Agent agrees to indemnify, defend (with comnsel reason s&oqit approved by County), and hold <br /> s. <br /> harmless the County and its officers , officials, employees, agents , boards and condi <br /> (collectively "County" ) � <br /> folkms: <br /> A. from and against any and all clairv15 , demands , rae'ions, prop airtgs% Iavjn3� it� , Dosoaa, dan�ges , <br /> judgments and/or liabilities arising out of, related to , ur iru oonru teon c°�i � ppli� tioJ� ��c7 plied for project or to <br /> attack, set aside, void, or annul , in whole or in pari , an app, rov61l of q10 ofppllCT;d for praivect by the County, the adoption ®f <br /> environmental review documents related to the &ppl °emd for project, and any re ated development approvals or project <br /> conditions for the applied for project (hereinafter tl s1W)➢ <br /> B . For any and all costs and expenses incurred by the county on amount of any Claim , ®xcept ^� ruh <br /> ° <br /> Mdemnification is prohibited by law, inciuding but not limited to dana9959 oostn , 0HPOns9% adorneys few, or e�Kpor� <br /> %vitness costs that may be asserted by any person or entity, Alva G, attorn®y goneral fees olained by or awarded to any <br /> party against the County, and the County's costs irti��ui7ed Ire pmparing an a�lninistra9vr� Poo'ord to high ars not paid by the <br /> petitioner. <br /> c� . Exem80 to gag Corgnty,s Eza% nsg igenco or �^INUI niEGon« �1 L <br /> pt <br /> a. �F <br /> A„ Tho County may participate or direct the defense of any Claim. The CouunCounty.' unctions in defense of ropy <br /> claim shall not raileve me of any obligation to indemnify, defend , and hold harmless thetythe Count shall <br /> B. In the event of a disagreement between County and me regarding defense of any Claim , <br /> have the authority to control the 9Rigation 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 cowsisel 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 Co"nty fees Counsel or employ <br /> separa counsel* i� counsel to represent ®r <br /> defend the County, and I shall pay the reasonable attorneys <br /> 9 , fuKthev, certify under , anef`it1y of MOM that D on (check one): <br /> Legal property owner (owner includes partner, trustee, trustor, or corporate officer) cl the property(s) involved In this <br /> Opplicationp ce <br /> ® Legal agent ( h proof 01 tr t o mr' or�sent to the application of this P!'operties Involved In this tennerts are true and application) <br /> and <br /> Piave been authafted to ale on tr18er hobhoV. Hs�d that the regoong application <br /> --- Jose EgO uz Signature : ate: <br /> Print Name: — _ <br /> Print Nemec <br /> Signature.• ccccccMDate: <br /> - <br /> Sognatu Date. <br /> Print dame: <br /> f 'rirtt Hme; __ <br /> Signature: Date: <br /> Pint Mane: Jose � D 1 z/ Signature: Date: <br /> os/1 =®21 <br />
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