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` BACKWATER PREVENTION DEVICE PROGRAM <br /> • <br /> 4,7 <br /> Our records indicate that a backw;tVevention 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 lki<lo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes Eo ❑ <br /> Do you have a backwater valve on your sewer line? Yes R<o ❑ Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Lon't Know ❑ <br /> Name: JOei / eSe v) <br /> Property address: g3„2 !Kul!ke, Aft' • &eve 4+1 UVA s602o I <br /> Phone 1: tf25) .�5 r 391 Phonee 2: <br /> Email: k L1 I ktit 1'vl 302 Cu evert eas-4-. V1C J <br />