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.. BACKWATER PREVENTIONbEVICE 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 [11 <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know X, <br /> Do you have a grinder pump in your basement?Yes jyt No II] Don't Know IIIName: S\4611-Vy.. <br /> Property address: 1 1 11 C'1 rG S. ( 1 e <br /> Phone 1: VIQ_gi 1.gg'JS Phone 2: LI • c3 ! .CDU <br /> Email: G{Ls lr'eG,k+!°34"6l re fp*? N 6044.,t .�m.. <br />