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1741 Palisade Cir - COC411 City of EagaIl SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION 41 City of EaRall City of Eagan, Minnesota 11 Pr Address: 1'1'4 1 0._1 1 i S 'L COMPLIANCE WITH WITH INIIIAL INSPECTION lfr This is to certify that the property listed above has been inspected by authorized City personnel on , 2011 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 n 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): n City Sanitary Sewer Permit n City Plumbing Permit NOTE: Applicable only if box is checked.. UBased 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: -t 1 Print name White Copy: Property Owner Signature Date 7 1 ' 1 1 Yellow Copy: City of Eagan (Parcel F ile) rev. 2 23.2010