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Department of Public Werke <br />SAN JOAQUI41 a V, OIncia, M PONBe Wv <br />1 <br />Ml,haWu,nopuy <br />mkl.�g nLalwiFnpmwYp <br />W:w um ab" YOJ Jlna, WpurynlmvlwNpxllmx <br />Rmu cert., MRRRow Rr.sv,.IRgamMMmR, <br />Acknowledgment of Monument Preservation <br />I, _Scott Landon Blake_, a duty Licensed Land Surveyor or a Professional Engineer <br />(Please print) <br />authorized to perform Land Surveying In the State of California, Registration No. M89 <br />hereby acknowledge and accept all responsibility for the monument preservation as <br />required <br />per Section tint (a4) of the Business and Professions Code within the bounds of the <br />construction activity permitted by San Joaquln County Permit No. PS2104254 <br />I further acknowledge that I em hereby responsible for to Acknowledgment of Monument <br />Preserva9on prior to final acceptance of the construction activity. <br />signature' Seal <br />2021-12-L(i O�P`14ryeS <br />Date <br />Na BIBS � <br />zMON4M[NTINF4RVAlION <br />2 <br />,'rFreGl140P <br />ATT A027n6. W87 E Fremont Street. Stockton <br />(RH 043-156) <br />1810 East Hazelton Avenue I Slacken, California 95205 1 T2048B 3000 1 F 209 468 209 <br />