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4259 Beaver Dam Rd - COCCity of Eapa White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Fagan, Minnesota City of Eapa Property Address: �- 9 f L e 0 P.t w„.._ �Z.a COMPLIANCE WITH INITIAL INSPECTION 11---T is to certify that the property listed above has been inspected by authorized City personnel on 4' , 201_ 1 and found to be in compliance with Section 3 40 of the City Code and no corrective work was required COMPLIANCE AF TER 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: (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 Build-up, Root Intrusion, Dip /Settlement in Pipe, Other: City Approved: 1 V'v \ �.. / L Ltk / (0 i D u l - Print name Signature Date Yellow Copy: City of Eagan (Parcel File) rev. 2 23.2010