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; l I'� <br /> ZG�R h-(.awl� St• � ' <br /> � BACKWATER PREVENTION DEVICE PROGRAM <br /> � , <br /> ' Our records indicate that.a backwater�pi2vention device must he installed on the sewer <br /> � connection at the address identi�ied:on Cne enclosed letter. Please help us verify that our <br /> I information is wrrect by ansv,�eri�ig tlie'fol�uwing queslions about your property. i <br /> Do you have a basement7 Yes � No ❑ <br /> If yes, does �t have plumbing fixlures (sink, toilet, floor drain, etc.)? Yes �] No ❑ <br /> Do you have a back�val=r valve on your sewer line7 Yes ❑ No ❑ Don't Know �? <br /> Do you have a grinder pump in your basement? Yes ❑ No� Don't Know ❑ <br /> Name {��wG�,,,^1 F'R1�Al C� <br /> Property address: p p S �bOT l�• $Z_�E . � L• w�� ��� <br /> +'Phone 1: �� IoSa�34 .�3 Phone z: <br /> Email. <br /> ' !P '"J.�Ir�� l���,? i?:1'�'t•� •, <br /> �{�L���Y �1�Y��il7���3�'�ii[S� �2 '�'�i�ta_1�i'�,kL'Ni��.E;L.���� <br />