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Aug/29/2022 14:54:16 MMC CASE MANAGEMENT 572-7106 212 <br /> $.t tw cola s�. .. fi i n.. . Arlo#a f�� ., l Ca 4rA P iNsr#� <br /> Plot Plan: <br /> f. <br /> r <br /> ♦ ..if' Fwl <br /> G15Coprdtnite:Latitude:_; � ' �#" kongitude: <br /> 1,the Ownsrf-Appkant!};Icensed Well Dtitterftnip Co ntactor agre to iridernnify;defend with counsel reasonably approved by Cour:ty,and hold'hamxtess <br /> Ilia.County irul Its.of;lcers,officials;ernploypps,igen sions icoiiectively°County)as follows. <br /> �: lc+tientnity: .. <br /> a From.80d against any and alt c4ims,cletnand ,.actiPrts,ptocoedings,lawsuits,losses,datnages,.judgments.aaruor tishilities afisirtg.. <br /> MA of;related to,,..or in conn®attoq rarth.the apps tion and applied for welt or pufrtp<or taattack,sef aside',void,or annul,.in whole or in <br /> .tsars,' poroval.or deotat of ilia a aiied for pa It by time..County,and.any enyironrr ental review duaurnents related to'the applied.for' <br /> Pwrnit" <br /> For any arxt alI costs:fna expert irsewed titer County cut acco*of iM Claim:ek"o where.sitth indemnification Is prohtl�iled <br /> by taw,including but nol-finm ted to damages, is;expenses;attorney's fees,or expert witness costs that maybe asserted by any. <br /> parson or entity,piivatis attorney general.fees .aimed.by or awarded to ony party against the Cousstyi and the Coynty's costs incurred <br /> 3n preparing an Hc3rniiristraiive record which'ara not paid by the.peudoner.. <br /> C'. Ersept as'tadhe Gc»irsty 8 soap nligcrtcci or w lful ntiscoridudn. <br /> 2: <br /> 8. Ttka County rngy pafiicipata or dimet ihe'dafen a of arty Claim.The County s actions in defense of.any btairn shall not relieve me of arty <br /> pligation.io Indemnlld6hehd,end hotel h3rrttt s the County, <br /> b. in.the Qyant of'a disnroemetnt.bet, tt Gnur1 and lne.regarding defense df anyCitkkn,the'Coyrrty shad have ft authority to control: <br /> via jltigalion mid make 11119ation*islons,ipch oing;but not iirniter$to,the moriner ift wtuch the defenses is cork!W-Jed.. <br /> If County reasonably determines that havi.corrirrion trrt,mol pre rs.such counsel with a conflict of i erica or if l tall to promptiy assume the d0ense of <br /> any Claim or to prsxnptly.0moloy c4urlsel reasortab4f sa6sfactory'to this count then:County may utltixa Etre (QFlicet csf the County C»urrset'or em{rtay <br /> separate otasIde counsel to repreneent or defend the County..and 1 all pay the reasonable alt mys'fees and costs of suib counsel; . <br /> I HEREBY CERTIFi' THAT i:HAVE PREPARED.THIS:APPLK ATION AND THAT THE WORK Wll.t4 St DONE IN ACCORDANCE WiT4.SAN: <br /> JOAQUIN COUNTY ORDINANCES, STATIE LAW.i; AND RU SAND REGVLATIQf4S, t ALSO CERTIFY THAT MY ED L:CENSE IS <br /> CURRENT At4D.ACTIVE WI,Tli. THE;�41F,P)t;Nir .coNTPAO on,sTA#£,LICENSE BOARO AND,T14AT t AM IN OONfpIJAWP WITH ALL <br /> WORKERS COM t4SATION LAWS " (� <br /> Prtaatteii't y O WN0- r <br /> Store; P 1 ' Dns> n�. <br /> :�'T^� . <br /> LICY14,51WWr.ts,Daluxit/ U PC:f3f'rMAL"' A, �693I11�tJC3i�j� <br /> Parxr:; altltir: s rt .iP1l:irct :. r . <br /> 9tGN. <br /> DATE '. <br /> �U 'I 4I�IZ 7"10N.F01 (JTHE.R THAN C-57 SIONIN it i?E I'1'.APPLICATION <br /> t h by aut2turite' <br /> h:++ncRtf X67 t;.icrnaerl nottexfi..ySRi�e,�y�irive .' '' .' . .' ' t"++ru tKirnead AvMN,rirsrl.i�nc . . . <br /> 10�i�;n.this sell jolt County Well&BQni l;'Pgr cit Ap1s ication on my Galla.£I undo rsumd this authort?Ation is-valid.for trite y%r.and . <br /> i I I Mi i.e.d.to the%V'trk Pilau�3ati:4 at ills rout pjC bJ1his'g. lacatinta, <br /> IfoSnim yge:et*' elriad,iR'1'am?. .. <br /> w <br />