Laserfiche WebLink
<br /> <br /> <br />1810 East Hazelton Avenue | Stockton, California 95205 | T 209 468 3000 | F 209 468 2999 <br />Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br /> <br />Department of Public Works <br /> <br />Kris Balaji, Director of Public Works <br /> Fritz Buchman, Deputy Director/Development <br />David Tolliver, Deputy Director/Operations <br /> Najee Zarif, Deputy Director/Engineering <br />Kristi Rhea, Business Administrator <br /> <br /> <br /> <br /> <br /> <br /> <br />Acknowledgement of Monument Preservation <br /> <br /> <br /> <br />I, _________________________, a duly Licensed Land Surveyor or a Professional Engineer (Please print) <br /> <br />authorized to perform Land Surveying in the State of California, Registration No.____________, <br /> <br />hereby acknowledge and accept all responsibility for the monument preservation as required <br /> <br />per Section 8771(a-f) of the Business and Professions Code within the bounds of the <br /> <br />construction activity permitted by San Joaquin County Permit No._____________. <br /> <br />I further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br /> <br /> <br /> <br />_____________________________ <br />Signature Seal <br /> <br /> <br />_____________________________ <br />Date <br /> <br /> <br />PS‐MONUMENT PRESERVATION  <br />