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2073 Shale Lane - COCCity of L,agan, Minnesota Property Address: r -O 1 S COMPLIANCE WIIH INITIAL INSPECTION II City of EaRall City Approved: rY c Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION Signature Date Yellow Copy: City of Eagan (Parcel File) 111 ‘0 1 ' City of Ea ll p ---This is to certify that the property listed above has been inspected by authorized City personnel on 201 and found to be in compliance with Section 3 40 of the City Code and no corrective work was required COMPLIANCE AF TER CORRECIIVE WORK PERFORMED Ihis is to certify that the property listed above has been found to be in compliance with Section 3 40 of the City Code after satisfactorily completing the required corrective repair work under (check all that apply): n City Sanitary Sewer Permit City Numbing Permit NOTEE. Applicable only if box is checked ased on a review of the Sewer Service video inspection /report on file, it is recommended that periodic cleaning or futureinspectipns be performed to minimize a poten qlal bloc age due to: Grease Build -up, Root Intrusion, Di /Settlement in Pipe, 0 I ( L. - _l > 73 - D- - 0-6 t rev 2 23.2010