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3841 Country Creek Way - COC4 , 11 '' City of Eagan City Approved: V l_ Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE fbr INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: \ C13 COMPLIANCE WITH INIIIAL INSPECTION This is to certify that the property listed above has been inspected by authorized City personnel on � , 201 t and found to be in compliance with Section .3 .40 of the City Code and no corrective work was required. COMPLIANCE AFTER CORRECTIVE WORK PERIJORMED 7 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 NOTE: Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is recommended that periodic cleaning or future inspections beperfojned to minimize a potential blockage due to Grease Build -up, Root Intrusion Dip /Settlement in Pipe, Other: L Gvl. - 90 9 / ( 61A (SI Signature Yellow Copy: City of Eagan (Parcel File) Date 4 1166 City of Eagan rev 2 .23 2010