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7J l Y.i. <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yes L ic1lo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes R4 o ❑ ��fjlu7� <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know ❑ Le24 <br /> Do yoy have a grinder pump in your bas ment? Yes ❑ No ❑ Don't Know <br /> Name: ,F tR.$' ILO c % ►41i, %! r^/�U� <br /> Property address: / ?r 6 11,46/ive ��ti►v1 Lr I.+�O� <br /> Phone 1: q 25 c02-0 Phone 2: L{2 - 33) 1 911, <br /> Email: Lc�5 R bade <br />