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SAN JOAQUIN <br />COUNTY <br />y ,�.'���.. <br />„�, <- <br />rb <br />Department of Public Works <br />Kris Balaji, Director of Public Works <br />Prinz Buchman, Deputy Director/Development <br />Jim Stone, Deputy Director/Operations <br />Najee Zarif, Interim Deputy Director/Engineering <br />Kristi Rhea, Manager of Strategic Initiatives <br />Acknowledgement of Monument Preservation <br />I, 4 "r 5, /2f Vay , a duly Licensed Land Surveyor or a Professional Engineer <br />(Please print) <br />authorized to perform Land Surveying in the State of California, Registration No. OJ✓� <br />hereby acknowledge and accept all responsibility for the monument preservation as required <br />per Section 8771(a -f) of the Business and Professions Code within the bounds of the <br />P66 J')&J✓J r st/T <br />construction activity permitted by San Joaquin County Permit No. 6419 Ivo 5580 <br />PS -2001575 <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 />� 0 LP N D Stj <br />Seal ROBERT S. F� <br />'Signature U SULLIVAN A <br />D No. 8558 <br />* <br />tp EZP. �T <br />DateTF <br />9 CFCA/ <br />PS -MONUMENT PRESERVATION <br />1810 East Hazelton Avenue I Stockton, California 95205 i T 209 468 3000 1 F 209 468 2999 <br />ll Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />