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t3ACKWATER PREVENTION DEVICE PROGRAM '! <br />Ocr records indicate tha� a backwaier preventwn devir.e must be installed on ihe sev�er <br />connection at the address identified on the enclosed letter. Please help us verify that our <br />information is correct by ans�vering the iollowing qucstions aboul your property: <br />Do you have a basement? Yes � No ❑ <br />If yes, does it I�ave plumbing fixtures (sink, toilel. floor drain, etc.)? Yes � No ,� ] <br />Do you have a backwater valve on your sewer I�ne7 Yes ❑ No ❑ Don't Know. � <br />Do you have a grinder pump in your basement? Yes ❑ No [� Don't Know � <br />Namc __IludreV _�C'1 �Ct�1�la..�"!1_ —_ <br />� �3 (� <br />Property ad�ress _ 3 .7 � �Q�� � _(l_�/_Q�_ <br />�t�one'I: �(�+O-�Q,Soz�� L Phone2: __ <br />F-�„3�� _ Lb,--1 dc,�am @y�no�-mc�t �_, ��m _ <br />-- --a , _ -_ ._ � _ ^p� , .:i ; -- <br />` ' � . . � � . . , <br />� � .� ' � ' � . .._ I'_ �� <br />__� ' ._. .... . ..� __. .. . . � ... _... � . ..� .. <br />