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was <br />Ch <br />I'P p <br />the s <br />or <br />Backwater Prev, <br />Property Owner <br />verify the following items: <br />the owner of the property served by the <br />on Device was installed. <br />t with my contractor to determine the <br />Device. 1 understand that the final de <br />Backwater Prevention Device was installed <br />• 1 have been shown how to access, insl <br />contractor <br />• 1 understand the City will not maintain t <br />am exclusively responsible to maintain <br />order, <br />• If I sell my property, i will make the buy <br />Prevention Device and the need to mai <br />one of the following: <br />of now, my property has no downspouts or o <br />e sewer upstream of the installed Backwater <br />❑ 1 still have downspouts or other onsite drainage thz <br />upstre,6m of the installed Backwater Prevention Devia <br />conne .lions means that the risk of flooding from down <br />I accept that risk. <br />tion Device <br />abate Form <br />where the Backwater <br />ation location for the Backwater <br />regarding installation location <br />my property: <br />, and maintain my device by my <br />Backwater Prevention Device. I <br />and to keep it ir, good working <br />aware of the Backwater <br />Sin it. <br />onsite drainage that connects to <br />rention Device. <br />connects to the side sewer <br />I understand that leaving these <br />)out or onsite drainage remains. <br />Page 2 of 2 <br />Revised 0;9/09/2014- <br />