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e Department of Public Works <br />N <br />SA01 OIN rr FNlz Buchman, Director <br />COUNTY— Ia <br />Waft is YOU Alexchelley,Depuyaimdor- De&xant <br />Mail Rhea DepulyPrcetlor•Adm0gration <br />cavld Tolliver, Dap WyDkolor- eperelims <br />Nalfe zerlf, Deputy Director• EngMeadrry <br />Acknowledgement of Monument Preservation <br />1, BENJAMIN H. SANTOS a duly Licensed Land Surveyor or a Professronal Engineer <br />(Please print) <br />authoriW M perform Land Surveying in the State of California, Registraflon No, 9251 <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 dhin the bounds of the <br />vsz4oas4T <br />construction activity permitted by San Joaquin County Permit No. 2201 N Pershing Ave <br />I fuller acknowledge that I am hereby responsible for the Acknowledgement 0 Monument <br />Preservation prior to final acceptance of the construction activky <br />Signature�� <br />December 19, 2023 <br />Date <br />6MONOMEN7 PRESERVATION <br />Q Survey Monuments Found - Post Acknowledgment! <br />Comer Record to follow. <br />F No Survey Monument Found, <br />1810 East Hazelton Avenue I Stockton,Califomi05205 1 7 2094683000 1 F2094682999 <br />0 Fallow us on Facebook@PubkoWorksSJC Vlsitourwebsite: wwwsjgovorglpubworks <br />