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true and correct to the best of my
knowledge and belief. That I have read and
fully understand all the information
required in this application form.
I agree and hereby grant authorization to
enter said property to the County for the
limited purpose of examining the property
with respect to the proposed project/land
use. This authorization is valid from the
date of this application until the date of
project determination or withdrawal.
I further agree to diligently process and
complete all requirements necessary for
said application to be considered
complete and ready for processing, and I
hereby do agree that failure to do so in
accordance with County Code constitutes
an abandonment of said application and
my desire to withdraw said application.
Property Owner #1 Signature
____________________________Date_______
Property Owner #2 Signature
____________________________Date_______
Property Owner #3 Signature
____________________________Date_______
Property Owner #4 Signature
____________________________Date_______
HOLD HARMLESS POLICY
Agreement to Hold Harmless
The undersigned Applicant and Property
Owners agree they shall defend, indemnify
and hold harmless the County of Siskiyou,
its agents, consultants, oicers, and
employees from any claim, action, or
proceeding (collectively, “Action”) against
the County of Siskiyou, its agents,
consultants, oicers, and employees to
attack, set aside, void, or annul any
approvals, or any part thereof, or any
decision, determination or action, made or
taken approving, supplementing, or
sustaining the approvals sought or made in
connection with this application (the
“Project”) or any part of the Project thereof,
or any related approvals or Project
conditions imposed by the County of
Siskiyou or any of its agencies,
departments, commissions, agents,
consultants, oicers, and employees,
concerning the Project, or to impose
personal liability against such agents,
consultants, oicers and employees
resulting from their non-negligent
involvement in the Project, which Action is
brought within the time period provided by
law, including any claim for attorney fees
claimed by or awarded to any party from
the County of Siskiyou.
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