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4225 Nicols Rd - COCCity of Ea pi City of Eagan, Minnesota Property Address: 1 ( )- C (J.-As ce,, COMPLIANCE WITH INITIAL INSPECIION " is to certify that the property listed above has been inspected by authorized City personnel on ' S , 201 and found to be in compliance with Section 3.40 of the City Code and no corrective work was required. COMPLIANCE AFTER CORRECTIVE WORK PERFORMED LI 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 repait work under (check all that apply): City Sanitary Sewer Permit . City Plumbing Permit NOTE; Applicable only if box is 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 a potential blockage due to: Grease Brild - -up, Root .Intrusion, Dip /Settlement in Pipe, Other: SAO— City Approved: -- k L r Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION Signature .irz)- I( Yellow Copy: City of Eagan (Parcel Pile) Date 41 City of Eapi rev 2 23.2010