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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 Q 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 ❑ No'S,Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know 54 <br /> Name: donne.. f./V/Sf;?, J <br /> Property address: Iz-oct L. Marine. ✓'e(!_ Pr <br /> Phone 1: Zw"".35j 1 Phone 2: 2 = ci-- 27 <br /> Email: r(A)i-S e ,k)(0jfyloi L' <br /> 7777, .0 w . _." t _ .., _, a .. ,1 ... '. I., _ <br />