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SAN JOAQUIN <br />--COU NTY- <br />Greatness grows here. <br />�x <br />Wmkias 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 Director - Engineering <br />Acknowledgement of Monument Preservation <br />1, 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. 'z54'70 <br />hereby acknowledge and accept all responsibility for the monument preservation as required <br />per Section 8771(a-0 of the Business and Professions Code within the bounds of the <br />construction activity permitted by San Joaquin County Permit No. PS -2400044 <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 />�� <br />Signature Seal _, ���� <br />13 127 h02?� ((ate <br />Date 1111 <br />ft 8474 <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 />in Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />PM 35507149 <br />