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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 ❑ No 0 61'44. ! 5/94,C 6,e itfp- <br /> If yes,does it have plumbing fixtures(sink,tenet,floor drain,etec)? es,S 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 /> a:zIr/ <br /> Name: -i' , G� ��I Yl:ar, � l YN <br /> Property address: 2-6 lc V)'1" , ,i, ) Ci, t'`e- <br /> Phone 1: h/4 "12 (71 'Phone 2: <br /> t / IEmail: f ,'�.. dC)J'L U 1 Ma 1' . & kket <br />