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Department of Public Works <br />SANJOAQUIN <br />COUNTY <br />'c_1 Foa?r, Greatness grows here. <br />Wo>*Ing for YOU <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 - Engineenng <br />Acknowledgement of Monument Preservation <br />I, i� r N b 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. L <br />I <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 />further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />Signatur Seal\ <br />Date <br />n 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 35461163 <br />1810 East Hazelton Avenue 1 Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br />91 Follow us on Facebook @ PublicWorksSJC Visit our website: www-sjgov-org/pubworks <br />