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. . _ , �,'.i� <br />BACKWA7ER PREVENTIO'N'DEVICE'PROGRAM <br />Our records indicate that a backwater prevenlion device must be installed on the sewer <br />connection at the address idenlified on the enclosed leller. Pltase help us veri(y that our <br />iniorma�ion is correcl by answering the following queslions about your property: <br />Do you have a basemenl? Yes �No � �U� �� � 5� bK SC'✓�Ic/1 �� <br />If yes, does il have plumbing tixtures (sink, toilel, floor drain, elc.)7 Yes � No ❑ <br />Do you have a hackwaler valve on your sewer line? Yes ❑ No ❑ Don't Know ❑ <br />Do you have a grinder pump in your basement? Yes ❑ No�J Don't Know ❑ <br />Name: �C'Q�(n Y"�� l�d � t�✓! k�I C' �� <br />PropeAyaddress: ���� V���C11hla K�� • �b0-�` <br />' Phone 1: _�"Z5 ,IZZ � �� � Phone 2: <br />Email: I�e Q � W � �i e► i(o" �/JV� li I�. CO M <br />.:i;t�.l-.' � . . '.i�'2+`:�ii�.�'..' i�:.1... . .�:.J...i `i, - <br />