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, BACKWATER PREVENTlfJN DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address idenlified on the enclosed letler. Plcase help us verify that our <br /> iniormation is correct by answering the following questions about your property: <br /> � /�2N��7 <br /> Do you have a basement? Yes o ❑ <br /> If yes,does it have plumbing fixtures(sink, toilet,floor drain,etc.)7 Yes'`(� No ❑ / <br /> Do you ha�e a backwater valve on your sewer line? Yes � No 0 Don't Know� <br /> Do you have a grinder pump in your basement? Yes [} No ❑ Don't Know ❑ <br /> �7 ( <br /> Name: �CG� \�1�-Dr <br /> Propertyaddress: ' ��Z� CAl�Sy �V�= <br /> n p" (� " 7 u ���-, <br /> � Phane 1: �GS U� T�7 5 Phone 2: �tis ' ( 1 Z� <br /> EmaiC �O!�1 �,�5 l l�s'l� � L � �/L • Cd M <br /> .. . ._✓_�r�.�.— . . I If' i11 I , �'� (iill � '�� IlI !� 1 + <br /> ..__ — , � il��':��m LJ •..�_:.�_..i._...:i..IW._� .!..'1 �.__:_1..:;L: c.L <br />