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;aui . Department of Public Works <br />SAN JOAQUIN <br />COUNTY Fritz Buchman, Director <br />Greatness grows here. Waairing foc YOU <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, r1 L Se. k�Ol , a duly Licensed Land Surveyor AP <br />(Please print) <br />authorized to perform Land Surveying in the State of California, Registration No. IgUoG <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. <br />Inn.6' 355k(0Otq A <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 />Ito( <br />2 <br />Date <br />PS -MONUMENT PRESERVATION <br />Survey Monuments Found — Post Acknowledgment/ <br />Corner Record to follow. <br />X<rNo Survey Monument Found. <br />�P�TF O980 <br />F C 1 pkv. <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />B Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />