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4020 Old Sibley Mem Hwy - COCCity of Eao a COMPLIANCE WITH INITIAL INSPECIION White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for' INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: ! CC U C 1 (t \c3 L ( ' � e Ork �� 1tti --This is to certify that the property listed above has been inspected by authorized City personnel on (" , 20H 1 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 7 This 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): fl City Sanitary Sewer Permit 1 j City Plumbing Permit NOTE: Applicable only if box i:s checked, I 'Based on a review of the Sewer Service video inspection /report on file, it is recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to: Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other: \, C', a cAsr City Approved; ! W■ / �L : _ / ! V Print name Signature Yellow Copy: City of Eagan (Parcel File) Date 411 City of Egli rev 2 23 2010