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830 Ivy Lane - COCCity of Ea u& City Approved: ` + C 1,_ Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: ' COMPLIANCE WITH INITIAL INSPEC LION 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 CORREC HVE WORK PERFORMED El 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): n City Sanitary Sewer Permit ❑ City Plumbing Permit NOTE: Applicable only if box is checked :'sed 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 potenpiflblockw due to: Grease Build -up, R ntr usi 1 Dip /Settlement in Pipe, Other,: 1(00 �� S / 2 `£ co (� n -'� �13S . 7I Cb/ G / 1 Signature Date City of hp Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010