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1850 Gold Tr - COC411 City of EaaaIl SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eapil City of Eagan, Minnesota Property Address: I S ( C; COMPLIANCE WI [H INIIIAL INSPECTION 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 corr ective work was required COMPLIANCE AF TER CORRECTIVE WORK PERFORMED U 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 wor under (check all that apply): City Sanitary Sewer Permit n 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 be performed to minimize a potential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: City Approved: � W". 4 O,�� Print name White Copy: Property Owner Signature Date Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010