2114 CEDAR ST 2022-04-13 - Laserfiche WebLink

i i j Backwater Prever�tion Device , Property Owner F�ebate Forrn � � Please verify the following items: � I �I � �,I am the owner of thc preperty sr.rved by the side Sewer wliere the Eackwater � Prevention Device w:�s installed , i � ' � I�I worked wdh my r.nntrador to delermine the �nsta�lation location for the 8ackwater � PrPv�n;ion Device. I understand that the final decision regarding installalion lor.ation � was mine � If Illhr� Rar,l�wator Prevention Device was mstalled qn my prnperty. � • I have been shov�r� how to ar,r,ess, insp�ct, and maintain nry device by my i �� contractor , • I understand the City��dl not maintain ih'e Backwater Prevention Device. I ; am exclusively responsibie to maintain i� and to keep it in good working � order. ; • If I sell my properly, I wiil rnake the buy�:r aware of th� Rackwaler ! Prevcn�ion Devicr and the need to maintam it. I I i Choose one of the following: ! I i I `�I�� %AS of now, my propeity has no downspouts or othgr onsite drain�ge lhat r.onnects to � �fh�: side sewer upstream ot the installed Backwater Prevenhon De�vice. oi _ - " ` , _ - - � � , i , � �y�j'I still have downspout, or uther� .isite drain:�ge th�t conner:is to the side sewer i iq�stream of the mstatled f3ackwnter Prevr.ntlon Device. I ur,dersland lhal Ieaving these ; i� connections means ih�at the risk of flooding (rorn downspout or onsite drainage remains. f �, I accept lhal iisk , _ _ __ _ — -- ' _ _ _ � � - � -- -- - - : Si n II � .�.J ,'J7� �/ ,�-� , g 8fur�..�".1� . . - �L-- �---- -- - ate_�1/f��j/�� � r �, 'i ', ; . � , ra9�zorz ' i r�e��se�i os�nsizo�a i � . ;