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SAN I JOAQUIN <br />-- C0UNTY <br />�/ Grirl''�r; P t `Y�I7 <br />17e'iyartwnt of Public Works <br />Kris Balall, Director of Public Works <br />Fritz Buchman, Deputy Director/Development <br />Michael Selling, Deputy D%eclor/Engineering <br />Jim Stone, Deputy Olrectorlopetations <br />Krrsti Rhea, Manager of Strateglc Initiatives <br />U�r0ir0�-auv kup6ld]ikUd9QA10dk�71Jai il'6°k�;� > IfVCAUV" <br />{ jai e{{Aet�'NAGQ YW4 , 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. <br />hereby acknowledge and accept all responsibility for the monument preservation as required <br />}ler Section 8771(a -f) of the Business and Professions Code within the bounds of the <br />construction activity permitted by San Joaquin County Per►riit No._ __ �___. <br />I further acknowledge that { am hereby responsible for the Ac{<nowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />Date <br />PS -MONUMENT !'RESERVATION <br />OF GPS, . <br />1810 East Hazelton Avenue � Stockton, California 95205 � T 209 468 3000 � F 209 468 2999 <br />