Laserfiche WebLink
� � Backwater preve��tion Device <br /> � Prop�rty Owner f�ebate Form <br /> Please verify the following items: <br /> �I am the owner of the property served by the side sewer where the Backwater <br /> PY�vention�Device was installed. <br /> � I worked with my contiactor to determine the installation location for tne Backwater <br /> f'r�ventioni Device. I understand that the final decision regarding installation location <br /> was mine. <br /> �If the Backwater Prevention Device was installed on my property: <br /> � % I have been shown how to access, inspect, and maintain my device by my <br /> contractor <br /> • I unders!and the City will not maintain the Backwater Prevention Device. I <br /> am exclusively responsible to maintain it and to keep it in good working <br /> order. <br /> • If I sell rr�y property, I will make the buyer aware of the Backwater <br /> Prevention Device and the need to maintain it. <br /> Choose one of the followiny: <br /> �jAs of now, my property has no down�• uts or other onsite drainage that connects to <br /> the side sewer upstream of the installed Be�nwater Prevention Device. <br /> or : , <br /> ❑ I still haye downspouts or other onsite drainage that connects to the side sewer <br /> upstream of the installed Backwater Prevention Device. I understand thal leaving lhese <br /> connections means that the risk of flooding from downspout or onsi�e drainage remains. <br /> I accept that'risk. <br /> `,� <br />,t Siqna[ure_� �� .cG F, Date % �� <br /> � Pa�e 2 of 2 <br /> I <br /> Revised U9/09�2014 <br /> i , , <br />