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BACKWAT�R PREVENTION DEVICE PROGRAM . <br />: .. _ ,� <br />Our records indicate that a backwater prevention device must be installed on the sewer <br />connection at the address id :nti6ed on the enclosed letter. Please help us verify thal our <br />information is correcl by answering the following questions aboui your property: <br />Do you have a basement? Yes �j No ❑ <br />Ii yes, does it have plumbing fixture sink, toilet, oor drain etc.)? Yes � No ❑ <br />Do you have a bar.kwaler valve on your sev✓er line? Yes � No �Don't Know � <br />Do you have � grinder pump in your basement? Yes ❑ No f� Don't Knov� ❑ <br />Name: G$Ry C,_��O/p <br />Propertyaddress: _f_y�o� �O �� 5•�~" L'��_�'fi< h///. Q�2Qd <br />Phone 1: �iaZ�=3S�_`%3S'—S. __ Phone 2: _��_�$5=�2_`�7,..� <br />Email: <br />�--� ' � ' I ••-- ---. ... .,.._...._ <br />� _ .�.,� :.�t_._.... ,. —iL. i . <br />