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�� <br /> ✓ <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> . • <br /> Our records indicate that a backwater prevention device musl be installed on the sewer <br /> connection at the address identified on ihe enclosed letter. Please help us verify thal our <br /> information is correct by answering the tollowing questions about your propeAy: <br /> Do you have a basement? Yes No ❑ <br /> If yes, does it have plumbing fixtures(sink, toilet, Ooor drain,etc.)? Yes Jo ❑ <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 basemenl7 Yes 0 No ❑ Don't Know 0/ <br /> Name: <br /> �"�vC (�iL��/�'`1S <br /> PropeAy address: ��I� ��T� " � " '�' <br /> /�� �� � � <br /> Phone 1: Y��s 'l�� � , Pho e 2: <br /> Email: SL.✓I L` v J��� W'i� �. � ' / <br /> —. . ,.���..: ��.�.��_,� ��I.l.i +, i �� �,�.�1�.'1��_ '�.? .i _ J ..�i_ ��L <br />