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SAN JOAQUIN <br />---COUNT <br />Greatness gruw� here <br />Wn&ft for YOU <br />Department of Public Works <br />Fritz Buchman, Director <br />Alex Chetley, Deputy Director - Development <br />Kristi Rhea, Deputy Director Administration <br />David Tolliver, Deputy Director - Operations <br />Najee Zarif. Deputy Directcr - Engineering <br />Acknowledgement of Monument Preservation <br />I, I;L�i..s m6Wibar" 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 />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 -2400034 <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 />Signature Seal <br />t'Z Z 7 2c7?_�j a oQ <br />01 <br />Date o <br />No. 8474 <br />PS -MONUMENT PRESERVATION �,0� <br />❑ Survey Monuments Found — Post Acknowledgment/ <br />Corner Record to follow. <br />❑X No Survey Monument Found. <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />Follow us on Facebook (a PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />PM#35507386 <br />PM#35507307 <br />PM#35509260 <br />