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� ,.� � <br /> ;,;.,,.; . <br /> •>�*.. r BACKWATER-PREVENTION DEVICE PR�?GRAM <br /> ;'.6;� ' . <br /> ; ''�' ' Our records indicate ihat a backwater prevention device must be installed on your <br /> �,'-;.' � sewer conneclion to comply with the new ordinance. Please help us verify that our �'9' <br /> information is wrrect by answering the followiny questions aboul your property: ��� <br /> � �� <br /> Do you have a basement? Yes�No ❑ �.��' <br /> w" <br /> If yes, does it have plumbing fiMures QeinN, leilet oor drei ete.)? Yes�No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No � Don'1 Know� <br /> Do you have a grinder pump in your basement? Yes ❑ No�on't Know ❑ <br /> Name: � � "�� � ( ��� <br /> PropeAy addresr. ���� C� <br /> � Phone 1:`1 ZS �5� ��Phone 2: <br /> Email: �1 • I�� e � � �� �� 1 . � <br /> . ' . . ' .t ,'� i . � `�1 <br /> .. _� _ _ _ �; ' � i � <br /> _..::_.:� ...__�._. . . ----� �� h ' .'.. _�.�._:i . �.J.' <br />