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} ^J ( , COMMUNITY DEVELOPMENT DEPARTMENT
<br /> REVISIONS OF APPROVED ACTIONS
<br /> FILE NUMBER ,
<br /> LEVINE ACT
<br /> k i_: fir= +_ ; hve January l 2020 . California Political Reform Act of 1974 Government Code 84308 . known I have read and understand
<br /> the Levine Acct prohibits any San Joaquin County Board of Supervisor member from participating in telae this 21; ptir_.atiir, i is
<br /> $ ! -IV �Zqenda Item Involving a discretionary land use permit or other entitlements if the Board member � � tibjeci to these provisior-rs .
<br /> . .=> ret' c: rved ar, y political contributions from the owner , applicant , or agent for the owner or applicant
<br /> f ) talincl more than $ 250 in the 12 months before the decision ( but not before January 1 , 2023 ) and
<br /> lhc: i 1 months following the decisbn The Act also prohibits an owner , applicant , or agent for the owl ler
<br /> c '. r applicant from making a contribution of more than $ 250 to a member- of the Board of Supervisors
<br /> I while the item is pending and for the 12 months following the date a final decision is rendered . date
<br /> AUTHORIZATION SIGNATURES
<br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION
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<br /> I the Owner /Applicant/ Agent agrees to indemnify . defend ( with counsel reasonably approved by County ) , and hold harmless the County 1
<br /> F and its officers officials , employees , agents , boards and commissions ( collectively " County " ) as follows
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<br /> i . INDEMNITY
<br /> A . Fiorn :-iiics' against any and all clain �is , demands , actimis , prot:eedings , lawsuits , losses , damages . judgments and / o ,-
<br /> Irabilities arising out of , related to or in connection with the application and applied for project or to attack , set aside , void , of 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 /> Be For any and all costs and expenses incurred by the County on account of any Claim , except where such indemnification ic•
<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 of entity , private attorney general fees claimed by or awarded to any panty against the County . and the County ' s costs
<br /> inctifFed 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 /> 2 DEFENSE
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<br /> A . The County may participate or direct the defense of any Claim - The County ' s actions in defense of any claim shall nct
<br /> relieve me of any obligation to indemnify ; defend , and hold harmless the County .
<br /> Be in the event of a disagreement between County and me regarding defense of any Claim , the County shall have the,
<br /> 3utt-1016ity to control the litigation and make litigation decisions . including , but not limited to . the manner in which the defense ic.,
<br /> onducted
<br /> C . If the County reasonably determines that having common counsel presents such counsel with a conflict of interest or it I
<br /> tail to promptly assume the defense of any Claim or to promptly employ counsel reasonably satisfactory to the County . then Cep unly rrra \/
<br /> ritilize the Office of the County Counsel or employ separate 00tside counsel to represent or defend the Cc; unty . and I shall pay the
<br /> reasonable attorneys ' fees and costs of such counsel
<br /> I . for1her , certify tinder penalty of perjure that I am ( check one )
<br /> L Legal property owner ( owner includes partner , trustee , trustor , or corporate officer ) of the property ( s ) involved in this appiicdUuri oi
<br /> 0 t—egal agent ( attach proof of the owner ' s consent to the application of the properties involved in this application ) and have t-lFFn
<br /> atithorized to file on their behalf . and that the foregoing application statements are true and correct
<br /> Ida Mae Teicheira Survivor' s Trust as Est, in the Teicheira Living Trust dated Feb , 7 , 20119
<br /> Ida Mae Teicheira , Trustee of the Manuel Teicheira Family Trust as Est. in the Teicheira Living Trust dated October 31 , 1991
<br /> Ida Mae Teicheira , Trustee of the Manuel Teicheira Marital Trust as Ests in the Teicheira Living Trust dated October 31 , 1991
<br /> Print t` ame Richard Teicheira , Co -Trustee signature Date .
<br /> IN) int NRnae Marlene Harris , Co -Trustee Signature ' t } r ^ 1 r"L 'L _ z - � ' - - -_ Date . e
<br /> F irii hl ime Carol Moberlv , Co -Trustee Signature . _ - 11 Crate A-t/ !
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<br /> Waste 3 i ) f 3
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