4467 Clover Lane - COC411 City of Evan
City of Eagan, Minnesota
Proper Address: 4 / 4 /67 el ove-r L
COMPLIANCE WITH INITIAL INSPECTION
7 1 ... This is to certify that the property listed above has been inspected by authorized City personnel on 6/ 27 , 201/
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER 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: 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:
Print name
White Copy: Property owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Eagal
rev 2.23 2010