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SAN 10AQUIN <br />COUNTY <br />;realness grows here. <br />e&N172 <br />Wedding for YOU <br />Department of Public Works <br />Fritz Buchman, Director <br />Alex Chetley, Deputy Director— Development <br />Kristi Rhea, Deputy Director - Admmistrateon <br />David Tolliver, Deputy Director- Operations <br />Najee Zarif, Deputy Director- Engmeenng <br />Acknowledgement of Monument Preservation <br />I, rs p.)emy`. or— 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. °6'4? <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 -2400043 <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 �c�0 <br />Date `� Z <br />, P1o.8474 e <br />PS -MONUMENT PRESERVATION <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 />j] Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />PM 35506513 <br />