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2240 Liberty Lane - COCCity of Eagan SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: COMPLIANCE WITH INITIAL INSPECTION t 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 wor was required. COMPLIANCE AE TER CORRECTIVE WORK PERFORMED I 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): City Sanitary Sewer Permit City Plumbing Permit 41 City of Eagan NDIE: Applicable only if box is checked: l 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 a potential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: City Approved: 1 VA- L / \_ �y� � I ` DC? l ) Print name White Copy: Property Owner Signature Date Yellow Copy: City of Eagan (Parcel File) rev 2.23 2090