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— -,- <br />� �. <br />. , <br />. ,�.BACKWATER PREVENTION DEVICE PROGRAM <br />Our rerords indicate ihat a back�va�er prevenlion device must 6e installed on ihe se�•�er <br />connectior at the address idenlified on the enclosed leiter. F:ease help us ve�fy that our <br />iniormatr: t correct by answenng the follolving questinns aSout your property: <br />Do you have a basement� Yes � No ❑ <br />If yes, does rt have plumbing fixiures (sink, toilet, floor drain, elc.)7 Yes � No �I <br />Da you hove a backwater valve on your sewer bne? Yes [] No ❑ Don't Know FQ <br />Do you have a gnnder pump in your basement� Yes [] No I�Q Don't Knoe� �� <br />Name: �A►,1 E_ '��w�'[- --- <br />Piopertyaddress _��II �li�e.Nv'i S'T ------------- <br />Phone 1 �'s� _�j.S__3��31 Pnonc z: <br />[mail: d�nY�e_@,. <br />). . :e�� . . _ .. <br />— __ __—��–_�__.. .._.. _.�...�..- <br />n_eS — G e� k� <br />, '� �. . __.._.� <br />� <br />1 , � <br />