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1415 Rebecca Lane - COC41 City of Eagan White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION Property Address: City of Eagan, Minnesota COMPLIANCE Willi INITIAL INSPECTION his is to certify that the property listed above has been inspected by authorized City personnel on } t) — }J , 201! and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired. COMPLIANCE AFTER 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): City Sanitary Sewer Permit J City Plumbing Permit Print name City of E fall NOTE.: Applicable only if box is checked: 1Based on a review of the Sewer Service video inspection /report on file, it is recommended that per iodic cleaning or future inspections beperformed to minimize a potential blockage due to Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: t i t%'.0 City Approved: V Signature Date Yellow Copy: City of Eagan (Parcel F ile) rev 2.23 2010