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CITY OF S T O C K T O N <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />Permit Canter- US N. EI Domdo Sheet - Stockton, CA 95202-1997 • 20919314N?86 - Fax 209193]-8893 <br />www.abcMwgov.coMo]0 <br />Acknowledgement of Monument Preso"allon <br />Monument Preservation prior to construction activity <br />I, _Scott Landon Blake , duly licensed Land Surveyor or Pmfesslonal <br />(Please Print) <br />Engineer authorized to perform Land Surveying in the State of California, Registration No. <br />_8689 hereby acknowledge and accept all responsibility, for the monument <br />preservation as required per Section Ml (a -f) of the Business and Professional Code <br />within the bountls of the construction activity parmided by the City of Stockton Permit NoJ <br />Plan No. <br />I further acknowledge that I am hereby responsible ferthe Acknowledgement of <br />Monument Responsibility prior to final acceptance of const action activity permitted by the <br />City of Stockton Permit <br />Seal <br />postal b?k'l �ANo <br />2022-11-1(� <br />Date <br />f 1Cnnmv mnnumnn Of CPUf� <br />