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BACKWATER PREVENTI*bEVICE PROGRAM <br /> Our records indicate that a backwater'pre tltion device must be installed on your <br /> sewer connection to comply with the ne •�'zfitlinance.Please help us verify that our <br /> information is correct by answering the fo)l6wing questions about your property: <br /> Do you have a basement? Yes'a No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes `g No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know R1 <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name: LA"IiSgg-NCt� ,JVg1E <br /> Property address: 3 D. eli <br /> erzerr- <br /> Phone 1: 25k'I 2,1 S Phone 2: ' 32,7-®5�� <br /> Email: tAfo'iitbie J..Ib,1"'lwhfL . a <br />