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BACKWATIER PREVENTION DEVICE PROGRAHII <br />Our records indi.:ate that a backwater prevention device must be installed or your <br />sewer connection to comply wilh the new ordinance. Please help us verify that our <br />information is co�'rect by answering the following questions about your prope�ty: <br />Do you have a basement? Yes �No ❑ <br />If yes, dces it have ptumbing fixtures (sink, toilet, floor drain, etc.)? Yes Q�No ❑ <br />Do you have a backwater vatve on your sewer line? Yes 0 No [a'Don't Know ❑ <br />Do you have a grinder pump in your basement9 Yes ❑ No [v]'Don't Know ❑ <br />Name: <br />Property address: J�� � I�'�''f1" �-U/� "' "`�^^ V'' ����D' <br />ti Phonel:��%�—�%��5��� Phone2: <br />Email: <br />� <br />,�Jd� I.� � � •h�' L�,..�t�i � .� i � � ...._L'..l_ <br />