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CITY of <br />~-~85 CRO$,sTow~I BouL~VA~D N.W.': XND(~VE.R, MINNESO'I;A ~-~-3~ - ('612) 755-5t00 <br /> <br /> CF. RTIFICATION OF GRA IN <br /> AND <br />PLACEMENT OF CORNER IRONS <br /> <br />DATE: ,' <br /> <br />THIS DOCUMENT HUST BF. SUBHITTED T~'THE.CITY NG DE ENT <br />AND APPROVED BY THE CITY ENGINEER PRIOI~ TO ISSUANCE OF A CERTIFICATE <br /> 'OF OCCUPAN~.Y. " <br /> <br /> Lot Block '. <br /> Subdivision Name <br /> <br />,Addre.~ <br /> <br />i hereby certify, that on the ~ day of , 199 ., I conducted an on-site inspection at th,. <br />above reference location. I further ver!fy~ th'at the as~built ~rade~ and elevations of the site and building are in <br />accordance with the Development/Grading Plan or amendmen~ appro. Ved by the City En~fneer. In addition.. <br />all corner irons are in place as of fl3is date. ' ' <br /> <br /> Signed: <br /> Printed/Typed Name (Reg, isr.erdcl. Land Surveyors): <br /> Minnesota R~. atlon No. <br /> <br /> Note: Att, ach a copy of r'h~e CePti~c~t-~'of Survey <br /> shoMng MI approved eleva~iom and as-built~. <br /> <br />· ANDOVER ENGINEERING DEPARTHENT <br /> <br />Approved Denied Signed <br /> <br />~ME ~ <br /> <br />Dated · " <br /> <br />Remar~ <br /> <br /> <br />