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5tTE ADDRESS: Ill 1 MO V !C/i l I'[)Mh V I /D- PERMT0: <br /> Plot Plan: <br /> 1 <br /> t <br /> I t <br /> .,Is u,aaQ;ate VritiAa t-Cni ' <br /> I anq OwnsrtApphanUlcanoed V4crDdkdPamp00i7ror> b ,defend wish cotrsei rasaorta*approved try Cry,dad hold hwnins <br /> ,he C wnty and es officers oflirJab,Smog agwo,tfaaeds.aid commisskM(wNOcti*"CoNW)as fdbA ' <br /> 7 Inderrwgr <br /> a- From and against any WO aX cisleau,demands.acbms.Proceedmps.inrsu49 kfea�re.daanapaa,jud erd and.w sab+etaee arising <br /> out of,related to.of cr In oOrataCYOR tra�tl!for apPkpon*i y V* appred-W w«anvvonin punV�l rrA@*doamW*Mlitted tO the 204d 1W <br /> saaa,w made,void,or annut In wl or In <br /> pare.approval a ntl�a41 d tAt ttlp�ad 4or petrol by County. <br /> pe"• <br /> b. For any and a/soft and expows etwrred by&w County on aocourr of any Chaim.t XOW where such a ClOnN 008W is pmht*od <br /> by w rst <br /> law.ock+dahg bw rot brru im <br /> tad ID d .Costs.expentee.attorneys fees.or e)V ert vAln costs i may be aaeeeI by sny <br /> person a Way"#At"Wofney gwtetd Use Ctakned oy or awarded to arry perry against the County,and the Countys txxta:tarred <br /> m prepe ittl(in afthstralVe IK d taArlch am not paid by the pertRlorter. <br /> c. E xcept as b the Cdtal t=W neig1g rroe or vAVW nrisco duct. <br /> :~se <br /> a. I he County may P11111 4e4w(Irani to dg*wd a of any Clairrt The Countys acww in deRrse dairy charm sham not reties rre of sny <br /> otragation to mdernillify�.46111d.and Aoki herwri ess the County. <br /> o in the event of a sen County,and me regarding defense d airy CWan.ow County stat hws to§uBWF*Y b Control <br /> IN,WipaaiCn ant rtaYe a 3eci5,on%ktckWhS but nol limited b,to mariner in vAiC1►rte defense Is OOrtdttated. <br /> i':v o.:�;easOctanty dedMtftltsa tAet hf1}AIM DOrtRrwn ra u )presents such counsel weh a Cot of iftlstast et/l jai b pl0rtplty asatrtte the dslormalNo of <br /> :air or to promptly empty aotlflrlrl reesona*tfelrifetta)'lO the Ceurrty then County may u0m the Me of 00 Canty CoureM or eaaltby <br /> !A1.mratr•ajtsrde counsel to repmes itordskwod Oho CA"".and 1 shall pay the reasonable a1c+r'+eYs'ieee and Cacti of such caret. <br /> t HEREBY CERTIFY THAT 1 HAVE PREPARED THfS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN <br /> JOAOUIN COUNTY pRDIMAN"S, STATE LAWS. AND RULES AND REGULATIONS. i AL50 CERTIFY THAT MY REQUIRED LICENSE ($ <br /> CURRENT AND ACTRIE WITH THE CALIFORNIA CONTRACTORS STATE UCENSE BOARD AND THAT I AM INCOMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS. <br /> Pr+(?PfRT!OIII'NER(Sr6MAT1tR!li F" A TRACT"WwL ON PRIVATE rwnpplT : <br /> cAf! <br /> Slow _ PRerT X�f,Ti4ty/'A4 <br /> l it enuo tlieu D u►oC }�� zw <br /> Sxsr+: / PawT: k9 M DATs 11190 <br /> AUTHORIZATION FOR OTHER THAN C-57 SIGNING PER.Mff APPLICATION <br /> hereby audwirc_ _-.--- - I <br /> --- - Vyee ul i-h-L�r A�lte.1•el6/nnarrr Now liar arAaAmb lApm <br /> to 51gn this San Joaquin C'.otmfy Weg&Doting Ptrmit Appbc Lion OD my beAalf.1 utrdCrslaftd this authorization isvalid for one yew trod <br /> i-Iamalcd to the work plan datod on the(suet pegs of this applicatic& <br /> set-haq P~ <br />