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- __ .--- -- ---- ! <br /> - - -----=-----_,-_ --- -- 7 <br /> �-------�- ------- - � <br /> ✓ <br /> � <br /> BACKWATER PREVENTION �EVICE PROGRAM ' <br /> Our records indicate thal a bacKwater prevention device mus� be installed on your <br /> sevier connedion to comply with the new ordinance. Please help us veiify that our <br /> informalion is correcl by ansv�enng the foliov�ing queslions about your property <br /> Do you have a basemenl? Yes � No [' <br /> I(yes, does il have plumbing fixtures (sink, toilet, tloor drain, etc.)� Yes � No ❑ <br /> Uo you have a backv�ater valve on your se�vzr line? 'fes ❑ No � Don't Know %_j <br /> Do you haae a grinder pump in your baserr,enl7 Yes ❑ No � Don't Know ❑ <br /> Name ��M4t � L�4� /'�N^P/,�ON _ <br /> (�17 N�x�_ AveT EvvP4.1 wA q�i <br /> f�roperiy address. — — <br /> Phonei: Y1�-3V3_�ly � -- Phone2. �2� -_3`'r� ' "I�p2..y <br /> F�»��� '�Ar✓deson�@ �r�.,(,_Con� _ _-- _ -- <br /> � �r it , �;���(� � — ��.. <br /> ��� , , , —; si.€ ,� `�i;� <br /> u� ! -- — �' r•isrrl�i� i��1&n;.-��,a � .'.?IJf�i�.l.�et'��, � raa.:JiL�,��,_ ' LjGn� <br /> _..__ ,_._•..,� <br />