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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed'on the sewer <br /> connection at lhe address idenlified o�the enclosed letler. Please help us verify thal our <br /> intormation is correcl by answering lhe'j3!�wing questions about yourproperty: <br /> 1 `" 1. <br /> Do you have a basement? Yes�No��: <br /> If yes, does il have plumbing fixlures(s�k;toilet, floor drain, etc.)9 Yes� No ❑ <br /> Do you have a backwater valve on your.se�ver line? Yes ❑ No ❑ Don'[Know� <br /> Do you have a grinder pump in your basement? Yes�No ❑ Don't Kno�v ❑ <br /> Name: {�V II/� LA� 0/�^b G�-1/lQ � e�. <br /> (� A �✓,,a� ��•.q qo � V2Y'tlou <br /> f'roperty address' �30 '��P!'`_ ' `" — �r�S ° l.p.�..L12N81n 5 �/A <br /> �:; , 9g�Z58 <br /> Phone 1: ��D-7��- I " `� •�� �'hone 2: <br /> r:.. <br /> Email: VIII� • �,o1M�dU/lG�U�' q1/"�0.��� ca�^^ <br /> ;�. <br /> � �11°�,� 1 ,1.1 �1 � }�j�;,I {, ;�, �'��,:'; .- <br /> ...�._ - - - -- - :���1�.�� -��. , ���i��t�i,.�����L„��,:�t.i:,�;� .. <br /> , a. hL.,i� <br /> � t f: <br /> _ .� ;`t <br /> �.�':o. .. —'-- -- � - <br />