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2078 Emerald Lane - COCCity of km NOTE Applicable only if box is checked: &iced on a review of the Sewer Service video inspection /report on file, it is recommended that periodi cleaning or future inspections be performed to minimize a potential blockage due to: Grease Build -up, oot Intrusion, ip /Settlement in Pipe, Other: Si= -5 , C;1=() �-- COMPLIANCE WITH INITIAL INSPECZION - This is to certify that the property listed above has been inspected by authorized City personnel on e ") � 201_C) and found to be in compliance with Section 3 40 of the City Code and no corrective work was required. COMPLIANCE AFIER 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): n City Sanitary Sewer Permit n City Plumbing Permit City Approved: Property Address: - C)1% Print name White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATI'ON City of Eagan, Minnesota Signature Yellow Copy: City of Eagan (Parcel File) Date rl h t City of Eagan rev 2. 2010