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1379 St Andrew Blvd - COCCity of EaRall City Approved: ") White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION Property Address: City of Eagan, Minnesota 13 COMPLIANCE WITH INITIAL INSPECTION This is to certify that the property listed above has been inspected by authorized City personnel on /2 "/ ' 201 6 and found to be in compliance with Section 3 40 of the City Code and no corrective work was required. COMPLIANCE AFTER CORRECIIVE WORK PERFORMED 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 repair work under (check all that apply): City Sanitary Sewer Permit n 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: Print name 1z/ice/lc Signature Date Yellow Copy: City of Eagan (Parcel F ile) 4 City of Eagan ivl rev 2 23 2010