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- - .. - ,�. <br /> , ,. <,,.� '.�1�` � <br /> ; . ,' :: ••-. <br /> ,., r,t . � � <br /> BACKWATER PREVENTIOMDEWGE PROGRAM <br /> `,F <br /> Our records indicale thal a backwater prevention device must be installed on your <br /> sewer connection to comply with the new ordmance. Please-help us verify thaf our <br /> information is correct by answerin� the following questions about yoUr property: <br /> Do you have a basement? Yes�No ❑ <br /> If yes, does it have plumbing fixWres (sink, toiiet, Iloor drain, etc )? Ye�j No � <br /> Do you have a backwater valve on your sewer line7 Yes ❑ No � Don't Know�C��'r <br /> Do you have grinder pump in your basement? Yes ❑ No U(Don't Know ❑ ��\ <br /> ,A / '�+--► l � !'°1 <br /> Name: P`� 1 � y �1� , 1�/��� <br /> Property address: 1, J� �" ���� /1 V � �����^' � <br /> Phone 1: �p�J�I (��'I � Phone 2: ���� b � C <br /> Email: W� ��� `�'�� <br /> —.w� . � ' , .i �I . I. �.� :K: : . . <br /> ' i1 � i � <br /> ' .' ' , � <br /> .... ; .. , � �. � . � . �i'� � <br /> syu!_._ ___� ._._— ! , ..... . .� ._ . _ . ... . . i .._��! . , �.. .. .. � _. _ . . <br />