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+.LJ..AIyJty` <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 answering the following questions about your property: <br /> Do you have a basement? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes'' ] No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know C <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: Let Y r y a r hl <br /> Property address: 7.5 I t(-}t:t G A , �eyettl wit q3 ZO/ <br /> Phone 1:gL.5r'2°J2-- 70df Phone 2: - 'z3(4-7 <br /> Email: beIee- @ ychoc), Com <br />