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4484 Clover Lane - COCCity of Eagan SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota NopertyAdclress: wag Clovev Y COMPLIANCE WITH INIIIAL INSPECTION rg Ihis is to certify that the property listed above has been inspected by authorized City personnel on / 1 j , 2011 and found to be in compliance with Section 3 40 of the City Code and no corrective work was required COMPLIANCE AF IER CORREC IIVE WORK PERFORMED 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 White Copy: Property Owner 4 6. City of Ea all NOTE: Applicable only if box is checked: I (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, Boot Intrusion, Dip /Settlement in Pipe, Other: City Approved: JAME:5 / 7 4Z / Print name 4/1- Signature Date 7 Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010