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SAN JOAQUIN <br />C CCU NTY— <br />c-iL4}ate-'-- iJr�ulf��55 +�fVfri Iti, t. <br />D <br />WWI <br />Working for YOU <br />Department of Public Works <br />Fritz Buchman, Director <br />Atex Ghetfey, 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, RAAJOF" rr V7,r-5 T. 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. 3r! & 3 <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 />Signature f Seal <br />Date <br />PS -MONUMENT PRESERVATION <br />a Survey Monuments Found — Post Acknowledgment/ <br />Corner Record to fallow. <br />❑ No Survey Monument Found. <br />0\- LA Np , <br />Na 8663 <br />1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 4E8 3000 1 F 209 468 2999 <br />I] Follow us on Facebook cD PublicWorksSJC Visit our website: www.sjgov.org/pubwinrks <br />PG&E PM: 35570354 <br />