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BACKWATER PREVENTION DEVICE PROGRAM `' <br />Our records mdicate Ihat a backwater prevention device must be installed on ihe sce:er <br />connection at the address identified on the enclosed letter Please help us ver.fy tha+. our <br />informatwn is correct oy ansvrenng the follotiving questions about your property <br />Do you have a basement? Yes �No ❑ <br />I� yzs, does i1 have plumbing fixtures (sink, toilet, floor drain, etc i� Yes��o [] <br />Do you ha��^ a backv,ater valve on your sewer line? Yes [ No �Don't Knov: ❑ <br />Do you ha a gnnder pump in your basement� Yes ❑ No �Don't Knov� ❑ <br />Name lJA2�LCIV- � C�C�"! ��_���-L�1�— <br />f'ropeRy address _� L� � �7 V�-�l—�O _/7V�� <br />F'hone 1: �� "' � � �� �'' �� � Phorie 2: Z �� G' ��7 -j L J •-� �) <br />[m�ad R-' �� /�l i /1 1 �i'i-r��-'.�D '% � G • �Y� <br />_ - - ----�-<-p . I <br />-- - ,�,:., � . <br />t' I�' <br />— � _ !u.a�Ll�%a',:J:�.�l��.. . � :��tY ��c �. '. e�.��I...�L, �_�iJIt�Y� <br />