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- <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(loor drainetc.)? Yes INo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know I <br /> Do you have a grinder pump in your basement? ❑ No El Don't Don't Know <br /> Name: Y1,1 U�,�� <br /> Property address: 1, y! 17 ' V ,c+ Lg2471 <br /> Phone 1:°2 3 231 6 6+@,hone 2: <br /> Email: e_ oc 4i t t 1, 00 - VV�� <br />