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BACKWATER PREVENTION DEVICE PROGRAM " <br />Our records indcate that a backwater prevention dewce must be installed on your <br />se�ver connection lo comply vnth Ihe new ordmance. Please help us yerify ihat our <br />information is correct by ans�veriny the follo�:�ing qucstions about your property: <br />Do you have a basement7 Yes �No (� <br />It yes, does it have plumbing fixtures (sink, loileL noor drain, etc.)� Yes�j'No ❑ <br />Do you have a back�.vater valve on your sewer line� Yes ❑ No ,'�on't Kno�v ❑ <br />Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Knov� � <br />Name: ��r�M Arno1^T _ <br />Property address __�_ �3 7' � �� �� Y r lT V"Q <br />Piionet. �liJ-3�o-�16`1b' Phone2 _ <br />EmaiC _ ____ _. <br />...�:ri�►1� •.,�1i`- )4.7'c" . . �. <br />,,; <br />��,��:t�;}��..1.����� :��cl.��r��� i. � ��;ts�����;,__��:;i�:�,���:_::t.� o.. <br />