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-- l/�/L nA. I��E� �5 � 1 y o 'L LDp 0 k/z s . � S m rJ rvia7NPrz <br /> (�a►SseD o n ✓4kg• iy zv�� �.�aM �'1�S�ns �,��,enou,� <br /> BACKW,4TER PREVENTION DEVICE PROGRAM �� <br /> �' �1 oRK�h� �►y� AR.o� �"Y �arn�e GNa�9�✓ <br /> Our records indicate that a ba�kwater d�evention device must be inslalled on your <br /> sewer connection to comply wilh the new ordinance. Please help us verify thet our <br /> informalion is conAct by answenng the following quastions about your property: <br /> Do you have a baseme;�t7 Yes. � No ❑ <br /> If yes, does it have plumbing fixtures(sink,toilet, floor drain,etc.)? Yes ❑ Pio�, <br /> Do you have a backwater valve on your sewer line7 Yes ❑ No �Dan't Know ❑ <br /> Do you have a grinder pump In your besement7 Yea ❑ No�Don't Know ❑ <br /> Name: /����� J�naPA , VB�na 1�,�s� <br /> Property address: /70� �C !J�/� .J � ' ���"��� <br /> 'Phone 1: 0 J��� yJw"� Phone 2: <br /> Email: �0����11L�lV`J� C.(J� <br /> � __ . _�._..._.,.��� �.���:_'�� .!�..��_ !_�.-�l!_ ' 1--.r . _ J :.�l. <br /> ... <br />