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� . <br /> BACKWATER PREVENTION DEVICE PROGRAM u <br /> Our records indicate that a backwater prevention device musl be installed on the sewe� <br /> connection a11he address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering the following queslions aboul your property: <br /> Do you have a basemenl? Yes '�J No ❑ <br /> It yes, does it have plumbing ii�Aures(sink, toilet, 11oor drain, etc.)? Yes�f] 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 ❑ No � Don't Know ❑ <br /> Name: P��U_� �\—�Lri►�nG� <br /> PropeAy address: 1�1�i'�' �I W��lU'Pi <br /> �Ln � <br /> Phone 1: l�-5- 252'�r�l� ( Phone 2: <br /> , Email: 4� A <br /> • � ""` ,ffit�i�i�l I'.'�fl {".r,. ., . <br /> _ ' _ --' ` - , a�t(�l�.bdldl��::�1..�.i��'7���� ' �,;�'.�'�1�.:_�''�:�ll'���d s;1 , <br />