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;,:::� .: <br /> ,,'- <br /> • BACKWATER PREVENTION DEVICE PROGRAM <br /> _. Our recqrds inCicale th2t a backwaler prevention device must be installed on your <br /> sewer conneclion to comply�vith the new ordicance. Please help us venfy that our <br /> informetionJscorrect by answering the fol!ovuiny questions about your property: <br /> Do you have a basement? Yes'�`1 No ❑ <br /> If yes, does it have plumhing fixNres (sink, toilel, (loor drain, elc.)? Yes �] No � <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know 1� <br /> Do you have a grinder pump in your basement7 Yes ❑ No '� Don't Know U <br /> Name ��l��� �c�flG-'�� _ <br /> Proper�yaddress: � f���Ls'_�_��� c_v����� ���?� <br /> Phone 1: /-2��J�/-��'�S Phone 2. _yZ S- }y�-�.3�� <br /> Finail _�G ��y��� G 1`�1�/L . �L�/h <br /> -- ��... .. - -- ._..._. _ <br /> � -- -'---�_ . . . - ._ _�_ .__ ,_ � <br />