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,;�� Department of Public Works <br />SAW,IOAQUIN <br />Fritz Buchman, Director <br />COUNTY <br />Greatness grows here. Waiddog fo[ YOU 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 />L 5P t be ( a duly Licensed Land Surveyor r <br />(Please print) <br />authorized to perform Land Surveying in the State of California, Registration No. q?J000 <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 -2400279 PM#35298205 <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 /><< IZ <br />Date <br />PS -MONUMENT PRESERVATION <br />Survey Monuments Found — Post Acknowledgment/ <br />Corner Record to follow. <br />No Survey Monument Found. <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />Ln. Follow us on Facebook @ PuhlicWorksf; IC Visit cur website: www.sjgov.org/pubworks <br />