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BA(;KWATER PREVENTION JEVICE PROGRAM / <br /> Our records indicale thal a backwater prevenlion device must be inslalled on your <br /> sewer connection to comply with ihe new ordinance. Please help us venfy thal our <br /> infnrmation is correcl by answering ihe following questions abou� your property: <br /> Do you have a basement? Yes � No �� <br /> If yes, does it have plumbing (ixtures{sink, toilet, iloor drain, etc.)7 Yes�(J No ❑ <br /> Do ycu have a backwater valve on your sewer line? Yes ❑ No '�tJ Don't Know U <br /> Do you have a grinder pump in your basement? Yes LJ No �]c Don't Know ❑ <br /> Name: �O S i _{? )J ����'�S <br /> � <br /> 1 c ��T <br /> Property address: 2 � I _� — I S J � ��Z... �iT��; � <br /> Phone 1: 4 ZS •- �C �� � I S phone 2: `'�" ZS — 2 ZXJ—� 274� <br /> [mail: ��S `v• lrU��9�/�S��f �OM <br /> - ru- t.l" - ' ., <br /> ` , . '. >.. , . <br /> � �' <br /> - - . � <br /> , t . • i <br /> _ <br /> , � <br /> ---�f ---- � -- _—:, i _. . __ _.._ �_ _�. <br />