2083 Shale Lane - COCCOMPLIANCE WITH INIIIAL INSPECTION
h is is to certify that the property listed above has been inspected by authorized City personnel on -)2-1 , 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
City of Ea all
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 Approved: 77-1 1 - 4‘.4._ \ CLtk .
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name
White Copy: Property Owner
City of • Eagan, Minnesota
Property Address: LCA Vk. C -
n City Sanitary Sewer Permit 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:
Signature Date
Yellow Copy: City of Eagan (Parcel File)
l City of Eaoan
rev 2, 23 2010