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a SbNIOIN Department of Public Works <br />AQUI"� <br />(=OIII�ITY �" <br />Kris 6elaJl,DlrodarafPublic Wods <br />i <br />FNlz auchman, Deputy DlreuorXawe pmen! <br />Wod*ivYOU Jim Stoma, DepulyDlresla/Opemlions <br />Nalee Izdl, Imsin, Deputy DireslarlEnginearing <br />KAU Rhea, Manager of Slralegk iniflalives <br />Acknowledgement of Monument Preservation <br />I, kill 30 G11Wil I 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,. 8660 <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 Permlt No. PS -2004038 <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 />ignature Seal 60�ANDSDR <br />s. ssao <br />Date <br />��� <br />OFcauto <br />PS MONUMENT PRESERW ON <br />1810 East Hazellon Avenue I Stockton, California 95205 I T 209 468 3000 I F 209 468 2999 <br />M Fallow us on Faosbook @ PublicftksSJC Visit ourwebslle wvvw.sjgov.org/pubworks <br />