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J <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 X No ❑ dL <br /> If yes,does it have plumbing fixtures(sink,toilet, o• •rain -tc.)? Yes;KNo ❑ <br /> Do you have a backwater valve on your sewer line? Yes , No ❑ Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ NoA Don't Know ❑ <br /> Name: A.-V-L1 fi r <br /> P f <br /> 151 6 <br /> Property address: q LotN1 <br /> Phone 1: <br /> 2 - one 2: (-", ) <br /> Email: <br />