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"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 d No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? 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? <br /> fYes ❑ No ❑ Don't Know [ <br /> Name: //erb + /�I. . /1�/ L tz <br /> Property address: Pa may/ A ire. <br /> Phone 1: P2erPhone 2: <br /> /t-/ <br /> Email: 2ki.lrT!f/e AO/enat£ _ pet.- <br /> , fii„t .. : � .dy „ <br />