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vtdast oft,Lal-zd do c t-O 2t,ew,,ui7 cam.- - <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 ts No ❑ d'a�`--''1.'VCt <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes rs,No ❑ <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 ❑ No ❑ Don't Know <br /> Name: R IO'!i(\ A C6/ <br /> Property address: 50 �ti k'�1 W 0)N CA <br /> Phone 1:1 0 la Phone 2: CI 1 t . oc; 2 3 <br /> Email: ChCi-t "�Jf.;O(.. 'VrOTl+fl l t1C s uYYI <br />