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! <br /> Backwater Prevention Device <br /> �� Property �wner Rebate Form <br /> '' I <br /> Please ��erify the following items: I <br /> j�l am �he ovdner oF the property served by the side �e�ver �;�here the Back�:�ater <br /> Preventiun Device was installed. � <br /> �/ i � <br /> [�I woriced �vith my conlractor to determine the installation location for the Backwater <br /> Preventiun Device. I irtdersta��d that the final decisior regarding inatallation lo�atiun <br /> �vas mine. <br /> .���?�If lhe E3ackv,reten Pr�vention DPvice ��das installed �n my property <br /> • I havG bcen shown ho�v to access, inspcict, and maintain �,y device by my <br /> cc ntracicr <br /> • I �ndersland the City will not maintain the f3ackwater Prevention Device. I <br /> am exclusively responsible to maintain it and to ke�F it in yood ����orking <br /> order. <br /> • I( I sell my properiy, I �viil make the buyer aware of thc Backwaler <br /> Prevention Uevice and the need tu ma:ntain it. <br /> Choose one of the fo'lowing; <br /> �;�s ci novd, rny pioperty has no downspouts or oU�er onsite drainage that connects to <br /> ih�� side :,e����er upstream of the installed Ba�kv,�ater Prevention Devic.�. <br /> r,r � <br /> i � I sl�ll I�ave downspcuts or o�her onsiie drainaye tha,t connects to the side sewer <br /> upsl�earn o( the installed 8ackv,�ater Pfevention Dev;r.�� I un�;crsland thal leavinc� lhese <br /> cnnneciicns means U��d the risk of (looding from dov.�nepout or onsite drainaqe rem�ms <br /> I �3cr.e��; th�t risk <br /> � <br /> �� �/��, � I <br /> Sigrra;ure- �—y–�'��' '"'��1.��"=-0atc�_ ��j�^G'! 5 � <br /> Paae 2 ef Z <br /> IZev�sed O�iO�)r201; <br />