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` 1 T . � `�:I'. .. ,`.� . • ' V <br />� .. ' .�i'.,r1V..l:M^'•p <br />e�.:. <br />',BACKWATER �REVENTION DEVICE PROGRAM , <br />-`� , , <br />• �, <br />'� � Ourrecords indicate lhat a backwater prevention device must be installed on your <br />• sewer connection to comply with the new ordinance. Please help us verify that our <br />information is correct by answering lhe following queslions about your propehy <br />Do ycu haJe a basement? Yes � No ❑ <br />If yes, does it have plumbing fixwres (sink, toilet, floor drain, etc )? Yes� No ❑ <br />Do you have a backwaler valve on your sewer line? Yes � No ❑ Don't Know� <br />Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know� <br />Name: I� IW � W VC /� �- � �— <br />Property address: _ S0 � ��t� <br />Phone 1 � °C'-(>�� '� �� _ P��one 2: <br />�I . <br />Email: _ _ _ � — <br />•1•� .> J . ILh �.1`•' �. . <br />. „� <br />._.) l.:l�.�t� �.. : r , _ <br />