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2094 Copper Lane - COCCity of hp SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION 41 City of hp City of Fagan, Minnesota Property Address: '4-09 14 0.0. LCt COMPLIANCE WITH INITIAL INSPECTION 0 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 AFTER CORRECTIVE WORK PERFORMED n 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 r equired corrective repair work under (check all that apply): n City Sanitary Sewer Permit p 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: 1 +1V. \ �,>- f� / Wei-0 / Print name `+ Signature Date White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev. 2 23.2010