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SANJUAQUIN <br />COUNTY-- <br />II(MUllari 101f3' <br />Department of Public Works <br />Kris Balall, Director of Public Works <br />Fritz Buchman, Deputy Director/Development <br />Michael Selling, Deputy Director/Engineering <br />Jim Stone, Deputy Director/Operations <br />Krista Rhea, Manager of Strategic initiatives <br />Acknowledgement of Monument Preservation <br />i<40C�q 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. � 5 eo9� <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. ApN 13z• 060-!0 <br />t further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final accep#ance of the construction activity. <br />Signature <br />Date <br />PS -MONUMENT PRESERVATION <br />�\�tJAL LANpSG <br />No. t 092 <br />FJ'? 303I•ZO •„ <br />O1= <br />1810 >^ast Hazelton Avenue � Stockton, California 95205 � 7' 209 468 3600 � F 209 468 2999 <br />