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r , <br /> f, <br /> : BACKWATER�PR�VENTION DEVICE PROGRAM �' <br /> Our records indicale that a`backwater prev.ention device must be installed on your <br /> se�ver connection to comply�vith the new ord�nance Please help us verify that o�r <br /> information is correcl by answering lhe following ques!ions about your property. <br /> Do you have a basemeM? Yes (�No ❑ <br /> If yes, does il have plumbing hxtures(sink, tolet, floor drain, etc.)? Yes �No ❑ <br /> Do you have a backvraler vatve on your sewer lin.•? Yes � No �Don't Know ❑ <br /> Do you have a gnnder pump m your basement? Yes ❑ No �on'1 Know ❑ <br /> Name. �_A- H M ��.l.l.._Q ��'�'�'/i � <br /> Property address: L!5/� �O 1 �T �-V� _ <br /> Phone 1:1 (,���(�0 Phone 2: <br /> L /� <br /> Email: fJ►_;�t�--'-iy�4��.��—Wti'''� — <br /> I f{ yf `"'1`��1 l�t,��• { i +I��;t•' <br /> , - - —• - !1jf���31,�Iad':(l•:f�tw.1�.I�I�!�Lif�L��r1���,�:i��lii.a�lli�.�..1:6 . <br />