O SIGN THIS PART OF THE APPLICATION SHALL RESULT IN THE APPLICATION BEING WITHHELD FROM FURTHER PROCESSING.

A. l, the undersigned,

hereby agree to defend (with counsel approved by the City), indemnify, and hold harmless the City, its officials, officers, employees, volunieers, and agents-(collectively,'thu "city Parties") from and against any claims, liability, loss, damage, costs (including reasonable attorney feesj, or expenses, suits, and damages of every kind, nature, and description, directly or indirectly-arising from, or relating to this application or the project (collectively, the "Claims"). I shall have no righito seek reimbursement from the City Parties for the Claims. These obligations shall survive the termination or expiration of this Acknowledgement and Agreement,

B. l, the undersigne,d,

hereby agree to pay any and all City costs incurred in connection with the application or theproject ("Fees"), and will enter into a reimbursement agreement with the City for the payment of

such Fees. The Fees may include, but are not limited to, costs associated wittr City'stlff time, processing costs, consultant costs, and legal fees associatecj with processing the appiication, implementing any project approvals, ordefending any project approvals. Consultant-costs may include, but are not limited to, environmental consultants, biologists, wetlands specialists, traffic cohsultants, geotechnical consultants, and legal consultants, as may be determined to be necessdry in the sole

acknowle deposit the need arises, I for any reason, a I hereby

it funds to covei the Fees as mburse the city for ail Fees, her deposit of funds to cover of funds is not fully satisfied within thirty (30) calendar days, the City may cease processing this application and the related project, and shall treat the failure to make the requested deposit of funds as my request to cease processing the application. The advance of Fees shall not be dependent upon the Ciiy's approval or disapproval o1 my application, or upon the result of any action, and shall in no way influence'tire project, Neither myseli, nor any other person providing funding for the project shall, as a result of such funding, have any expectation as to the results of the application process or the selection of an alternative favorable to or benefiting me. , that such

C-

I, the undersigned, hereby acknowledge and agree that once the plans for the project are submitted to the City, the Gity retains a copy of the plans and the plans become a part of the City's public project file, subject to public inspection.

D. l, the undersigned, hereby acknowledge and

agree that the comments of statf regarding the project are for guidance purposes but the final decision on the project rests with the Planniig Co[rmission and/or Pacifica City Council.

E'

l, the undersigned, hereby acknowledge and agree that my failure to provide complete, truthful, and accurate information necessary to process the application, or to provide public notice as required, may result in a delay in processing the application, or nay constitute grounds fordenial or revocation of the permit requested. herein, and may result in the City ceasing processing this application and the related project, and treating the failure as my request to cease processing the applicatibn.

F. l, the undersigned, hereby

acknowledge and agree that any documents approving the project and/or Otfice. if requested, I

conditions of approval may be recorded with the San Mateo County Recorder's agree to sign a document to allow such documents to be recorded.

G. l, the undersigned, hereby acknowledge and agree that any permit issued pursuant to this

application will not grant any right or privilege to use any building or land contrary to the provisions of federal, state or local law. All provisions of law applicable to the project shall be in force whether specified or noi.

H. l, the undersigned, hereby acknowledge and agree that all projects are subject to all authorized or required by law.

Page 2

applicable fees

Updated7l30a0l5

L

l, the undersigned, hereby declare under penalty of pefury pursuant to laws of the state of california that all of the information contained in this ipplication is tiue and correct of my own personal knowledge. A

Lb, c, u,-k-

Appfieant +gen{ Name (print)

0,o-l*.,.r-

:,t l, *

Zt */* r^.

+rope*yeutner Name (print)

A1"-t

GENERAL NOTES

A' B.

may adopt ord

The applicant parate letter, to receive notice from the city of a proposal to plans or ordinan"ur' g"n"ral plan; a specific plan; a zoning " building p"irit* nigrading permits.'Vou must specify, in the written request, the types of proposed action ior which njtio" iJrequested. The applicant should be aware of the provisions of Government Code Section 65961. rials, the City shall determine in writing within 30 days e cornplete, the City will review and consider the

including Government Code Section 65920 et seq.

Page 3

Updated 713012015

Pacifica - Acknowledgement and Agreement by Applicant.PDF ...

... IN THE APPLICATION BEING WITHHELD FROM FURTHER PROCESSING. ... but are not limited to, costs associated wittr City'stlff time, processing costs, ...

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