1952 Carnelian Lane - COCCity of aftan
City of Eagan, Minnesota
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Pr operty Address: } 42 ( Cja_ vim.
COMPLIANCE WITH INITIAL INSPEC TION
..This is to certify that the property listed above has been inspected by authorized City personnel on C I - , 201_0
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
In 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
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
City of /lap
NOTE, Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
Wing or future inspections be performed to minimize a potential blockage due to:
recommended that periodic
ease Build -up,
000t Intrusion, 1 t
Vt
/Settlement in Pipe, Other: ('
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LV_ - ak) `--1 rA . < 1S/
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2, 23 2090