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i <br /> BACKWATER PREVENTION DEVICE PROGRAM � <br /> Our records indicate thal a backwaler prevention devfce must be installed on yaur <br /> sewer connection lo comply w��h the new ordinance. Please help us verify that aur <br /> information is eorrect by answenng the following queslions about your property: <br /> Do you have a basement9 Yes,� No ❑ � - <br /> If yes,does il have plumbing fixtures (sink,toilel, floor drain,etc)? Ye� No ❑ <br /> Do you have a backwater valve on your sewer line7 Yes ❑ No ❑ Don't Know� <br /> Do you have a grinder pump in your basemenl7 Yes ❑ No 0 Don'1 Know� <br /> Name V S �'�. <br /> Properly address. �i�iJ .���` Jr <br /> i Phone 1: YZ�—�3'Z-1�� Phone 2. <br /> Emeil: ��`_c i�+S���hs?�►/�A�i - CJ.ti+ <br /> �i;1.��,4.�;1.�.�,(�-.�t,;Li��� .9';�I�'i�;����.�v.t� <br /> � <br />