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4485 Clover Lane - COCCity of Eagan City Approved: J/4714E3 Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: C to v COMPLIANCE WITH INITIAL INSPECTION Ihis is to certify that the property listed above has been inspected by authorized City personnel on 66 ft - Z, 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 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 r epair work under (check all that apply): n City Sanitary Sewer Permit City Plumbing Per NODE: 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: k 7 Signature Date City of Eaaall Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010