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868 Great Oaks Tr - COC411 City of Etan White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: Lo (-) C IS -tr COMPLIANCE WITH INITIAL INSPECTION 4 —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 CORRECIIVE 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 T City Plumbing Permit NOTE: Applicable only if box is checked, nBased 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: l sl‘t\ [ C3 V1 ( 1 �t (o �J ! CJ Date Print name Signature Yellow Copy: City of Eagan (Parcel F ile) 4111 City of Evan rev 2 23 2010