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I <br /> '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 answe ing the following questions about your property: <br /> Do you have a basement? Yes o ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yeso ❑ <br /> Do you have a backwater valve on your sewer line? Yeslo ❑ Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No n't Know ❑ <br /> Name: 'IsV tl 1 X8'CUM cc \L-Gt W" " ` \c-- 1-Gti address: 1 V !\fa J(>1 VisbCi0 ) V 124 <br /> Phone 1: 2S=3 t - ; l Phone 2: ' 7 903 — clot, <br /> Email: Y1e 'I r �►'l ei1/, (OA'` <br />