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...�.r..--. . --- - - - <br />BACKWATER PREVENTION DEVICE PROrRAM <br />Our records indicate that a backwater preventlon device musl be inslalled on your <br />sewer connecUon to compiy with the new ordinance. Please help us venfy Ihal our <br />information is correct by answering the following questions about your property: <br />Do you have a basemenl? Yes IV I No ❑ <br />7�' <br />I( yes, does it have plum'�ing (ixWres sink toilet, floor drain, etc:)? Yes � No ❑ <br />Do you have a backwaler valve on your sevderJine? Yes ❑ No ❑ Don't Know� <br />Do you have a grinder pump in your basement? Yes ❑ No � Don't Know ❑ <br />Name: IJtL�LV N_�� 1—V `C�C�"-.ri.� � 1"e — <br />Properly address: G31 � ��LJV�.� `,__� V 1— � CLL�V_I <br />Phone t:��j �3�,�1(�� Phonc 2: _c�WJ ��_(i j_ _�_J, <br />Email __JS�J–���'"��_Dr����l`� ;�,,._s �lV 1 — <br />�,p�,I {II'I '' 1„��`�A.�•� liI •I ''' ��11tt1� - !I <br />�� Iei��•SilLi��.Y��l[lll�l'�w1'�i.i� ��� '�!-�!1 '���lI�,CI.LL�..41L 0�� <br />