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4334 Bear Path Tr - COCCity of Ea all City of Eagan, Minnesota Property Address: L i 33 0_r Palk COMPLIANCE WIIH INITIAL 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 corrective work was required. COMPLIANCE AF I ER CORRECTIVE WORK PERFORMED n 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 work under (check all that apply): City Sanitary Sewer Permit n City Plumbing Permit NOTE: Applicable only if box is checked: IBased 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 apotential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: City Approved: \ A Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION Signature Yellow Copy: City of Fagan (Parcel File) L /30 , if Date City of Ea all rev 2 ,23 2010