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S V_�/�:� Car��;71c_1--`,�, 1� i`;.v,ov__� 1 ��- C9-It`_�; -tw � C� iJ.`� - <br /> �1 f�'r�4 �/i �c� I'�`� �� �"I�� �:�f�Ck -f'v .�1'� c' `� (V �vJ v� � � U . �fj 1 <br /> BACKWATEt2 PREVENTION DEVICE PROGRAM v��s ��c� / <br /> Our records indicate that a backv.ater prevention device musl be installed on your Sp�'�N�I • <br /> se�ver connechon to compty wdh the new ordinance Please help us venfy that our <br /> in(ormaUon i; correcl by ans�venng the tollo�ving questions about your property I <br /> Do you have a basement� Yes�No ❑ <br /> If yes, does d havc plumbing hxWre (sin toilet, floor drain. etc )� Ye�.[�No � <br /> Dc you have a back�.vater ��atve on your sewer hne? Yes i� No � Don't Kno�� <br /> Do you have a gnnder pump m your basement� Yes (-' No ❑ Don'1 Knov,��u,k� <br /> t.arne: O �CI •-- — --- - - _ <br /> i'roperty address l 1 I�_ �'�A� � _ <br /> t�none 1 Phone 2' __ <br /> � 'D1� _ _ - -- _ _ __ _ <br /> -- - ---- ..�I�, ;��� <br /> �. <br /> ■ . :L. ,.., . ..' �_: ' .,!•� ►If �h • u ..l �.y �u <br />