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- � . _ _ � ��:i � �. <br /> BACKWATER PREV�NTION DEVICE PROGRAM <br /> Uur records indicate Ihat a backwater prevention device must he installed on your <br /> sewer conneclion to comply wdh the new ordinance. Please help us veri(y that our <br /> information is coirect by answering the tollowing questlons aboul your property: <br /> Do you have a basement7 Yes �.No ❑ <br /> If yes, does it have plumbinq 5xtures (sink, toilet,iloor drain, e�c )? Yes � No ❑ <br /> Da you have a backwater valve on your sewer line7 Yes [_� No ❑ Don't Know� <br /> Do you have a griniler pump in your basemenl? Yes ❑ No ❑ Don't Know [�. <br /> Name �_—fi�1a��V L.�(�1�T D0�_� �C.� �l IJ�bGr <br /> � <br /> Prapertyaddress: _)��/ �1�'�'nOn_ �)�VC��_ _. ___ <br /> rH��PW1��� t�,1.C • 31 �7 ' U�.I� _ Fhone2: tiZY . 0�°�' �Ob.3 :S�o[' <br /> — wib+,/ <br /> [mad (Y�.�4.� C.. ���W��5_(J.°y��.Ll,?'� <br /> ---- – - ! --{ —�i�1i�j' ltr�'��i���. <br /> r��E 1��.�.c V��'� .�,����F:+ '��Lli!'i�:�'.�:t�4i:�.1�v i�� <br /> , <br /> . � <br /> � --•- - . . <br />