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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 <br /> questions about your property: <br /> Do you have a basement? Yes ❑ No I <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 ❑ Don't Know 2 <br /> Do you have a grinder pump in your basement? Yes ❑ No [b Don't Know ❑ <br /> Name:(jtyk-I-iOco&_ r4 ,-w°E.ILi,Ord <br /> Property address: Log ROCKS.raze tt_ I-'4VE. <br /> Phone 1: Phone 2: <br /> Email: G,..£La rt.Artc:$EJ t% a' GO"PetL . On <br />