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.., . ' 1'f,���,�,v`.5���� � <br />.l <br />BACKWATER PREVENTIOIa,�4E!lIC� PROGRAM <br />•'g. <br />� �.;•. <br />Our rewrds indicale lhal a backwater preveniion device musl be installed on the sewer <br />connection at the address idenlified on Bie enclosed IeUer. Please help us verify Ihal our <br />information is correct by answering ihe following questions about your property: <br />Do you have a basement? Yes�No ❑ <br />If yes, dnr.; i� have plumbing fixWres (sink, toitet, floor drain, eta)7 Ye�o ❑ <br />Do you haw: a back�va�er valve on your sevaer line7 Yes ❑ N�Don't Know ❑ <br />Do you have a grinder pump in your basement? Yes ❑ No�Don't Know ❑ <br />Name: — �G"�1�.� Z.1/�� �� t , — <br />Property address: l�\ U n�V[ <br />Phone Y_�_ `� n � Phone 2: <br />[mail: %/��/�Q� <br />_. _,..�.�._._-_�...,:__�� ���:t=�`'� .fl �:�!_ � <br />�, <br />. �. � �. <br />' ; I � , 7� <br />� . -- - .':_.._�t-.. _: J. . . �_:1. _��. .�.1 <br />