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®i Department of Public Works <br />SAN_10AQUIN <br />Fritz Buchman, Director <br />_•. _. COUNTY— ': <br />�itrroaN`Y Greatness grows here. Woddng fair YOU 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 />I, SST L &1404LAY7t 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. `a-1 5,9 <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 -2302839 <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 />�A� <br />Signature Seal <br />2m2�& - m9-12 <br />Date <br />PS MONUMENT PRESERVATION <br />Survey Monuments Found – Post Acknowledgment/ <br />Corner Record to follow. <br />XNo Survey Monument Found. <br />A -r- A(D2 L s)<2 - <br />RK 043-h25 <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />in Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />