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4555 Johnny Cake Ridge Rd - COC4 11I City of Eapu SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota /' Proper ty Address: T 5� d V't n Ck /2) (BJ 5e COMPLIANCE WITH INITIAL INSPEC IION 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 TER CORRECTIVE WORK PERFORMED 1 1 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): 1 1 City Sanitary Sewer Permit City Plumbing Permit NOTE: Applicable only if box is checked. j 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: Es White Copy: Property Owner Print name Signature Yellow Copy: City of Eagan (Parcel F ile) I 5 Date City of Eapll rev 2 23. 2010