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, <br /> . ,.,._ ..: ,:, � .;:... � <br /> -�,. , N <br /> - . BACKWATER PREVENTIO�I'D$�,/•�ICE PROGRAM <br /> -. _ . �,,*:;••�� <br /> ; .:; .. . :,.;. <br /> �Our rPcprds indicate that a back�Vater prevePljo'�'�Tevice musl be installed on the setver <br /> connection at lhe address identified on tfie;en�losed letter. Please help us verify lhal our <br /> information is correct by answering lhe following questions about your property. <br /> Do you have a hasement? Yes�( No ❑ <br /> If yes, does it have piumbing fixtures(sink, loilet,floor drain, etc.)7 Yes� No ❑ <br /> Do you have a backwater valve on your sewer line7 Yes ❑ No � Don't Kno�v� <br /> Do you have a grinder pump in your basemenl7 Yes � No �] Don't Kno�� <br /> i ���,J <br /> Name: <br /> Property address: �_� D � C� >hv <br /> Phone 1: � L U l� / (� l 7 �'�lione 2 <br /> E m a i l L� �� �G n G�� is�/1 C_ c�7-�' '�/t> �J_ <br /> _ � ' ,• ,�-� UR,�� ,� �,;,�I's �ur . . <br /> _, - - -_ _ -- - �t_ l;l;t,���,Ed!tl�b���1►:.�s�,��tu���v'�����I�. �,�:�.�,�r.�. �;..� <br />