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v, <br /> BACKWATER.PREVENTION DEVICE PROGRAM <br /> rJ <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.S.No ❑ Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No [I] Don't Know.N' <br /> Name: tog,...„ <br /> �n <br /> Property address/'3/ A,„., <br /> e / ��/ <br /> Phone 1: 204 4 '5-r1-70J Phone 2: <br /> Email: CG41.3'i t'/ i.Cems,r`ST <br />