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4695 Nicols Rd - COCCity of hp City Approved:' Cc3 White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE foi INFLOW & INFILTRATION City of Eagan, Minnesota Pr operty Adth ess: 4404 5 /k (LP 14 ® ( R COMPLIANCE WIIIT INI TIAL INSPECITON n 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 IER CORRECTIVE 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 satisfactor ily completing the required corrective repair work under (check all that apply): fl City Sanitary Sewer Permit Vrity 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: id—f-f i> (11 ( Print name Signature Date Yellow Copy: City of Eagan (Parcel File) City of Eapll rev. 2. 23 2010