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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to comply with the new ordinance. Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yes, No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 'No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No)Nt'Don't Know ❑ <br /> Do you have a grinder pump \ <br /> in your basement? Yes IDNo>4`Don't Know [IName: Ge,Y Y `r,T VuI✓'G ..\-S('ek <br /> Property address: ` uccikke/r AV� <br /> Phone 1:I 2 �3 I ( Phone 2: <br /> Email: Cs.rt'� J �� �,Y�S . Y3e4 <br />