4585 Lake Park Dr - Certificate of Compliance11 City of Eap l
City o #'Eagan, Minnes ota �j]
Property Address: 4-� (} S k e- ICS l �Gl r k Dr,
COMPLIANCE WITH INITIAL INSPECTION
Ihis 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 AFIER CORRECIIVE 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 required corrective repairwork under (check all that apply):
1
I
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: used 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:leo ° 5 u e1
Print ncime
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
41 City of Emil
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rev 2.23 2010