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SAN JOAQUIN <br />COUNTY <br />�. rorrtnoec nrnwe hor <br />C�CIFOR�\P <br />a urif <br />4zq%� <br />wadft fWrOU <br />Department of Public Works <br />Kris Balani, Director of Public Works <br />Fritz Buchman, Deputy Director/Development <br />David Tolliver, Deputy Director/Operations <br />Najee Zarif, Deputy Director/Engineering <br />Kristi Rhea, Business Administrator <br />Acknowledgement of Monument Preservation <br />I, 1"A4jZ G' C14 OS gL?a,.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. 79 I 0 , <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. <br />PS -2104219 <br />further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />A;;Z - 1!5:00�00< <br />Signature <br />30�44/240 <br />Date <br />PS -MONUMENT PRESERVATION <br />Seal '�.0 N ND <br />3� <br />No. 7960 <br />�F CAO <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />91 Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />