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SAN JOAQUIN <br />--COUNTY <br />We <br />'C o <br />el <br />Werking for YOU <br />Department of Public Works <br />Kris Balaji, Director of Public Works <br />Frltz Buchman, Deputy DirectorlDevelopment <br />Jim Stone, Deputy Director/Operations <br />Najea Zarif, Interim Deputy Director/Engineering <br />Kristi Rhea, Manager of Strategic Initiatives <br />Acknowledgement of Monument Preservation <br />I, <br />(k (A 500 1 a duly Licensed an Surveyor or a Professional Engineer <br />(Please print) <br />authorized to perform Land Surveying in the State of California, Registration No. <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. / oegollfo <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 />�P� LANG <br />G 0 t7/F <br />tt! <br />jj Xature Seal 0 0 <br />°- No. L7.889 a <br />Exp. <br />1 12/31 /� <br />Date <br />PS -MONUMENT PRESERVATION <br />1810 East Hazelton <br />Avenue � <br />Stockton, California <br />95205 <br />� <br />T 209 468 3000 <br />� <br />F 209 468 2999 <br />� Follow us <br />on Facebook <br />@ PublicWorksSJC <br />Visit our <br />website: www.sjgov.org/pubworks <br />