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SITE Aooltess: 5281 W. Kingdon Rd. Lodi/95242 PERMIT#'.gow f l 1 <br /> Plot Plan: <br /> IN ZEN <br /> IN MEN <br /> IN m <br /> L <br /> MEMNON <br /> t . t s m6tkilnq on <br /> IN 0 <br /> loom 0 <br /> GIS Coodlnete:Latus I.prgXuda: - <br /> I,Ma OwmrlAppllrant wmW WNl DdllerfPump Contrecta agrees to le arl derend wfM counsel reasonably approved by County,and Mid hanks <br /> the County and its ompem,drill employees,agents.Wards,and commissions(mllaclively'Couni as follows: <br /> 1. Indamnlly: <br /> a. From and Wall any ed all clal demeak, actions, 1Xaceedimp, lawsuits, leases,damages.judgments anchor liabilities arising <br /> out of relelec k,or In connection with IW application and applied for wall or pump of to attack,sal aside,void,or annul,In whole or in <br /> pan,approval or denial of he applied for M and by Me County, and any environmental review documents related to the applied for <br /> permit; <br /> b. For any and all coals end expenses Incurred by the County on account of any Claim.except where such IndemnXxmtion b prohibited <br /> by law, Including but not limited to damages,cosh, expenses,attorney's teal or expert witness costs Mal may be asserted by any <br /> person or entity,private attorney general fees claimed by a awarded to any party against the County,and the Cal costs Incurred <br /> In preparing an administrative recall whim are not pale by Me petitioner. <br /> C. Except as to the County's sole negligence or willful meconduct. <br /> 2. Def nna: <br /> a. The County may perkelpete or direct Me defense of any Claim.The Courtly a actions in defense of any claim shall not relieve me of arty <br /> obllpatlon k Indemnify,defend and hold Mnnless Me County. <br /> b. In he event of a dim nowmant <br /> betwel County and me regarding defense of any Claim,the County shall have Me WtMnty co <br /> to ntrol <br /> the Itigxtion and make Itigaron decisions.Mounding,but hot limited W.lire manner In which the defense Is conduced. <br /> If County ramonably determines Mal having common counsel presents such co sbal with a works of interest or a I fall to promptly assume the defame of <br /> any Claim or to promptly employ counsel reasonably mafaclory to the County, then County may u it Me Olflce of the County Ceunal or employ <br /> separate outride counsel to reaeamt or defend Me County.and I elan pay Me reasonable atmmeys'lees and nista of such counsel. <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAOUIN COUI ORDINANCES, STATE lAW3, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE 18 <br /> CURRENT CTIVE ��ITH THE FORMA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN CpMPDANCE WITH ALL <br /> WORKERS MP NSATI ILAW5. <br /> P..Pa._ <br /> stew: I Pair. Jack Hamm Dere 6/29/2022 <br /> LKaafeo War apr, umr 'phraacToa: <br /> 5e Pxarn Austin Loock CEO ore 6y29/2022 <br /> AUTHORIZATION FOR OTHER THAN C-57 SIGNING PERMIT APPLICATION <br /> I, ,hereby aulhol <br /> Nv„�u![di uu,,,nl.lwM1nmlan^awnlr. aura urfivd WA, <br /> to sign this San Joaquin County Well a Haring Permit Application on my behalf.1 understand this authorization is valid for one year and <br /> is limited to the work plan dated on the front page of this application. <br /> I!Iai IMNUEI rel z.l wAn.rel tl <br />