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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicale that a backwater prevention device must be installed an your <br /> se�ver connection to comply with 1he new ordinance. Please help us verify that our <br /> iniormation is correcl by ans�vering Ihe lollo�ving questions about your property: <br /> Do you have a basement? Yes � No ❑ . <br /> If yes, does it have plumbing fixtures (smk, toilet,.floor drain, e�c.)? Yes� No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know� <br /> Do you have a grinder pump in your basement? Yes ❑ No� Don't Know ❑ <br /> Name: �l D�/Yt/. n 1-V�P, �SO%'i <br /> Property address: /� 3 Z �w�.kc r �v"<-- <br /> Phone L ���5 � L U b /3 y Phone 2. <br /> Email: �U����i=7-�=r—! �` ���'l7 �1/f�'i (.O j� <br /> � t ��„=r�t ,,��;.nrj��� ;. <br /> � `II �) 1 � [ ( . , `' I <br /> - . .. �.. --� - '1 ;_�R�t�,e4�.ilL�y�}.�l.�i'�^.�.1.".:.�[J�TIL�.:II�...1L�111��C�i.Q�� � <br /> � . . <br /> . � <br />