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SAN JOAQUIN <br />COUNTY <br />,FOR,�r Greatness grows here. <br />a - <br />Waaking 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 />I, Oc)t 1 Mn -,.A 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. LS 8474 <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 -2400257 <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 />4�2' ��A. <br />Signature <br />( 2_ 1 (�Z-2, <br />Date <br />PS -MONUMENT PRESERVATION <br />PG&E PM# 35493527 <br />Seal <br />OL <br />a/pyG�P� <br />CLI <br />0 <br />* n No. 8474 _ */ <br />Survey Monuments Found — Post Acknowledgment/ <br />Corner Record to follow. <br />XD No Survey Monument Found. <br />1810 East Hazelton Avenue I Stockton, California 95205 ( T 209 468 3000 1 F 209 468 2999 <br />li Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />PM#35493527 <br />