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AO1Z241 <br />SANaJ0A0UIN Department of Public Works <br />Kris Balai Director of Public Wolks <br />COUNTY— FrBz Buchman, Deputy DirectorlDe"lopmenl <br />Michael Selling, Deputy Directo#Engineering <br />Working far YOU Jim Stone, Deputy Director/Operations <br />Kriati Rhea, Managerof Strategic lnitiefives <br />Acknowledgement of Monument Preservation <br />1, Scott Landon Blake , 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. 8489 , <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 />construction activity permitted by San Joaquin County Permit No_ PS -2101227 <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 />E!—a <br />Signature Seal <br />2021-m <br />Date <br />PS -MONUMENT PRESERVATION <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />