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_ .� <br /> BACKWATER PREVENTION DEVICI� PROGRAM I <br /> Our records indicate that a backwater prevenlion device must be inslalled on the sewer I <br /> connection al the address identified on the enclosed letter. Please help us verify thal our �" <br /> information is correct by ansvaering the fo!lowing questions about your property: I r <br /> Do you have a basement� Yes �1Jo ❑ <br /> If yes, does it have plumbing fixtures (sink, toilet,iloor drain, etc.)? Yes �, No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No Q�Dun't Know ❑ <br /> Do you have a grinder pump in your 6asement? Yes ❑ No �Don't Know ❑ <br /> Name: _��t /`� � � � 0 l !J — <br /> i . / <br /> Property address: �_q 3� _ O C� � � � e Y _ V�' <br /> £ Ue.etf � G <br /> Phone 1: �y�Q Z '0`f Z O Phone 2: _ <br /> _,��C_0_(?0�-- ��zo� <br /> EmaiC �� � �m <br /> _ . � ' - ' � .. . . � . � . r . � n' <br /> . � ;� � r, n s � � <br /> — 'L=------L= " �� .._. _.. ,._.:. ; . .. ,.. J��.�, _.... _ . . ... .��. <br />