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1758 Hickory Hill Dr - COCCity of E fill SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota S' } Property Address: `a rat t� \AA \ k) ° v £� COMPLIANCE WITH INITIAL INSPEC IION Ft' 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 work was required COMPLIANCE AI IER 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): City Approved: J t ti VC_ `. Print name White Copy: Property Owner City Sanitary Sewer Permit City Plumbing Permit NOTE: Applicable only if box is checked: ;Based on a review of the Sewer Service video inspection /report on file, it is recommended that periodic cleaning or • f sture inspections be performed to minimize a potential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: Signature Date City of E agan Yellow Copy: City of Eagan (Parcel File) rev 223.2010