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SAN JOAQUIN <br />.r: --COUNT` <br />cq,r Greatness groo <br />Waking 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, _12a t.i Mr5i_ es f" , 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. c 't <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 />I further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />:�� h, ;,� <br />Signature Seal l/WD <br />M04 <br />Date <br />* \ No. 8474 <br />PS -MONUMENT PRESERVATION <br />❑ Survey Monuments Found — Post Acknowledgment/ <br />Corner Record to follow. <br />x] No Survey Monument Found. <br />PM 35514445 <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />in Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />