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.��� <br /> BACKWATER PRE,��N�ION DEVICE PROGRAM <br /> . . . ., } .: . HN, . ., . <br /> . .. � ., Y6,y' <br /> � I Our records intlicale th�t�b�Ckwaler preven6on device must be installed on your <br /> " sewer connection lo eorriply`!�lith the new ordinance. Please help us verity thet our <br /> ' iidormation is co'rrect bq.aii4�rering the following queslions about your property: <br /> ....., .. ;,�.h.. <br /> ;, ' �...�:.�t �' . <br /> Do you have a basement? Yes � No ❑ � <br /> IF yes, does it have plumbing fixtures(sink,toilet,floor drain, etc.)? Yes ❑� No ❑ � <br /> Do you have a backwater valve on your sewer line9 Yes ❑ No [] Don't Know � <br /> Do you'have a grinder pump in your basement? Yes 0 No � Don't K�ow (;d/ <br /> ✓ <br /> Name: �e.L?r'�l J ' �� n-S0� <br /> Propertyaddress: V �� <br /> ; Phone 1: �o�' �4�� ^�10� Pfio e 2: �e� ' � `��� <br /> r � <br /> emai�: ('0.5 C0.C�(Ol�F c�7` yv�.mA� � � CorYl _ ' <br /> _ , '� � ''��` �i,: � � '�1i4 <br /> . ' 'r «s.'=-.. '�'t .:I�..��J�tl1_.i`r� l�'.-' ...1�_. J1��,,._.' '�, ,.,:.��L. t� <br />