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BACKWATER PREVENTION DEVIGE PROGRAM <br /> Our records indicate that a backwater preventiu� device m��st be installed on the sewer <br /> connection at the address idenhfied or the enclosed letter. Flease help us verify that our <br /> information is correct by answering the following questions about your property.- <br /> / <br /> Do you have a basement? Yes .� No ❑ <br /> If yes. does it have plumbing fxtures (sink, toilet, Ooor drain, etc.j� Yes�o ❑ <br /> Do you have a backwater valve on your sewer line7 Yes ❑ No ❑ Don't Know � <br /> Do you have a grinder pump in your basement? Yes ❑ No�❑ Don't Know � <br /> Name ��Q�1 �� � "" —_ <br /> Property aAdress: �I��1M-V"'� �1 � 1 � Uv"""����� <br /> Phane 1:C..�+u'�W V� ��✓`+' —`-' /Phone 2: � <br /> Email: _ 1lU �C�.1 �%�I�/�.`_- , ' lJ� Y �' I <br /> — � — `\—' ��<���,�I� ;(yL: ' �}�}�� '�j�Eyjl� '�' :, <br /> . _. .Y��... S �t��1Li��_1'�ail)�.4JF�`�)1/� lt�{J�i�L�����:�..�i'OY��)�l'�.WC' <br /> ! <br />