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BACKWATER PREVENTION DEYICE PROGRAM <br /> Our records indicate that a backwater preveniion device must be inslalled on your <br /> sewer connect�on to comply with lhe new ordirance. Please help us venly that our <br /> mformation is correct by answermg lhe following queslions about your property. <br /> Do you have a basement? Yes (�No ❑ <br /> If yes, does it hove plumbing fixtures (sink, toilet iloor drai , etc )? Yes � No ❑ <br /> Do you have a backwater valve on your sewer line� Yes � No � Don't Know [] <br /> Do you have a grinder pump in your basement� Yes ❑ No ❑ Don't Know [� <br /> Name: � J1�2` �VCfR�L �Q a �'�1�"� _ <br /> Property address � , v •• � VE�S U� �1, �/1+ � ��/ C�� <br /> �{25� e��S�l U? �-f�2�0��2 r�r2a1 <br /> Phone 1 Phone 2. <br /> Email: .�ZZY�O 'Yh _��{�V(� IpY���d�a.1 iCO� <br /> -- —�--�-.. _—'. _....._.._.� ��.�--- -� . i. . . _,. _. . ,' . .__ _.... �� <br />