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CD-901 Standard Signature Blocks IMPROVEMENT PLAN SIGNATURE FORMAT: CIVIL ENGINEER (Licensed civil engineer must sign, stamp and date each civil design plan sheet) BY: (NAME, LICENSE NUMBER AND EXPIRATION DATE) DATE CITY OF DUBLIN PUBLIC WORKS (required on title sheet and all subsequent civil plan sheets) REVIEW OF PLANS DOES NOT RELIEVE THE OWNER/DEVELOPER OF RESPONSIBILITY FOR CORRECTION OF MISTAKES, ERRORS OR OMISSIONS. FINAL APPROVAL OF CONSTRUCTION OR INSTALLATION SUBJECT TO INSPECTION, TEST AND ACCEPTANCE. REVIEWED BY: PUBLIC WORKS DIRECTOR-CITY ENGINEER DATE ALAMEDA COUNTY FIRE DEPARTMENT (required on title sheet) REVIEWED AND APPROVED BY: SCOTT McMILLAN, DEPUTY FIRE MARSHALL DATE DUBLIN SAN RAMON. SERVICES DISTRICT (required on title sheet, check with DSRSD for other sheets) CONTACT DSRSD @ 925-828-0515 FOR EXACT WORDING TO INSERT HERE DISTRICT ENGINEER DATE SOILS ENGINEER (required on title sheet) THE PORTIONS OF PLANS REGARDING GEOTECHNICAL ASPECTS OF THE PROJECT HAVE BEEN REVIEWED AND ARE IN CONFORMANCE WITH THE INTENT OF THE RECOMMENDATIONS CONTAINED IN THE GEOTECHNICAL REPORT TITLED" " PREPARED BY DA TED BY: (Name, Title, License No., Exp. Date) DATE :\" OF DUS;, STANDARD SIGNATURE BLOCKS 6mJ~ ~@~@~ SCALE: NOT TO SCALE APPROVED: .~ 19 ~- -~ 2 ~~~ DA TE: SEPTEMBER 13, 2006 ~h~A W;u (' \'h DRAWN BY: LDH PUBLIC WORKS DIRECTOR CD-90 1 dl!FO~~ V:\CAD\NEW STANDARDS