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>-P .- r : <br />,� .. <br />- , , ..: . - <br />BACKWATER PREVENT�4�N DEVICE PROGRAM <br />� <br />�� <br />Our records indicate that a hackwale� prevenlion device must be installed on yow <br />sev+er connectinn to comply with the new ordinance. Please help us verify that our <br />iniormatian is correcl by ansvmring the following queslions aboul your properly: <br />Do you have a basement? Yes � No L <br />If yes, does il have plumbing 5xlures (sink, toilel, floor drain, elc.)? Yes � No ❑ <br />Do you have a backwater valve on your sewer line? Yes [� No ❑ Dodt Know � <br />Do you have a grinder pump in your basemenl7 Yes [� No �Don't Know f] <br />. 1.1 (-�/ <br />Name: Cr l �I ^�) l r� ���Y�/ �'� ��t� <br />I,, \� � . ,t (�, <br />Property address: � � ly �� `� � � � ���� �.4- ��- - <br />2S• Sy -1S ll' `" <br />Phone 1: � Z- .1 Phone 2: �_� � � �� �^ — � <br />Finail�. �WO���^� L�\ � ��, 1 \l a�'�� —. <br />,_� —' —:'.� --� . . i .'1 ' "P. <br />� .'. , , i .t� �., i':I� <br />�a.,n . � .. .. � � <br />- �L � ,. ' T . . . � . .. _—�.�._.i _..._ . . . ... . _ . . <br />- •–� <br />I ' <br />I, <br />