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SAN JOAQUIN <br />COUNTY <br />Greotness grows here. <br />ILWi � : it <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, G Ir_�� L- - '+�� , 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. <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. Pw-ENCROACH-2400178 <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 <br />a,-) e 7 <br />Date <br />PS -MONUMENT PRESERVATION <br />O ,L LANO S <br />Seal ��X C`Q� <br />CIRO L. TOM)A `fl <br />a rSp 30 �'`0 W <br />* P.L.S. 3570 117, <br />PC <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 />ffj Fallow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />