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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 Ig No <br /> )110 <br /> If yes,does it have plumbing fixtures( in\ <br /> ,toilet,f oor drai ,etc.)? Yes 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 ❑ Nod Don't Know gi <br /> Name: G�e Yej/Gu J4-t b i <br /> Property address:ryc2.4 -��S- (,"ik_.pf Ali <br /> (Phone 1: 00(.,7 a2:`MO Phone 2: <br /> Email:5 PCDU/eJ76riY e <br />