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<br /> <br /> <br />1810 East Hazelton Avenue | Stockton, California 95205 | T 209 468 3000 | F 209 468 2999 <br />Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br /> <br />Department of Public Works <br /> <br />Fritz Buchman, Interim Director of Public Works <br /> Alex Chetley, Interim Deputy Director/Development <br />Jim Stone, Deputy Director/Operations <br />Najee Zarif, Interim Deputy Director/Engineering <br />Kristi Rhea, Public Works Business Administrator <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Acknowledgement of Monument Preservation <br /> <br /> <br /> <br />I, _________________________, a duly Licensed Land Surveyor or a Professional Engineer (Please print) <br /> <br />authorized to perform Land Surveying in the State of California, Registration No.____________, <br /> <br />hereby acknowledge and accept all responsibility for the monument preservation as required <br /> <br />per Section 8771(a-f) of the Business and Professions Code within the bounds of the <br /> <br />construction activity permitted by San Joaquin County Permit No._____________. <br /> <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 /> <br /> <br /> <br />_____________________________ <br />Signature Seal <br /> <br /> <br />_____________________________ <br />Date <br /> <br /> <br />PS-MONUMENT PRESERVATION <br /> <br /> <br />Todd A. Tillotson <br />Todd A. Tillotson <br /> 8593 <br />02/13/2023 <br />BP-2101061