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SAN JOAQUIN <br />COUNTY <br />Department of Public Works <br />Fritz Buchman, Director <br />Alex Chetley, Deputy Director— Development <br />Krish Rhea, Deputy Director -Administration <br />David Tolliver, Deputy Director -Operations <br />Najee Zarif, Deputy Director -Engineering <br />Acknowledgement of Monument Preservation <br />_ <br />Rd <br />I <br />Rly Licensed Land Surveyor or a Professional Engineer <br />(Please print) <br />authorized to perform Land Surveying in the State of California, Registration No._!372Z, <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 -2302708 <br />I further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final ac eptance of the construction activity. <br />08 <br />Signature Seal ON LA <br />0 <br />6/2-9 a 3 a BORSDORF IN <br />Date LICENSE <br />Na 9728 <br />PS -MONUMENT PRESERVATION <br />❑ Survey Monuments Found – Post Acknowledgment/ <br />Corner Record to follow. <br />['No Survey Monument Found. 'loft, �e_O fXLO� <br />Ci tPE`A-f' r�YL�`7 — vw vv% o �^ V vna. t S u 0 d I <br />vn\C-56�✓z9 / Q, -e/ "� �U-T — l �t v1 f� fac�lr� <br />(j()vJ 0.r^j tDr W©20.V• eo— <br />1810 East Hazelton Avenue Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />11 Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />