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} yr� <br /> BACKWATER PREVENTION EVICE 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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ <br /> Do you have a backwater valve on your sewer line? YeNo ❑ Don't Know ❑ <br /> Do you have a grinder fmpp .!in <br /> t_. <br /> n,your basement? Yes Li No Don't Know <br /> 1 ❑ <br /> Name:U C... � 3L , C-InCtA—F/ <br /> Property address:ILA V S 1 <br /> Phone C!q" 't-r57F one 2: <br /> Email: ( I-LY(.011SG I t e '11• Coal,. <br /> ��ffr <br />