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vvutesiiwa tact HaitJly, bcca+vk of* etaa.rra"- <br /> BACKWATER PREVENTIONQQ DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yes t[ "No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes EI to ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know ®' <br /> Do you have a grinder pump in your basement? Yes ❑ No [E-tion't Know ❑ <br /> Name: icon r-A. MC.) r ro tv Property address: ..1 o G r c k ck, f n <br /> -0-0— <br /> Phone 1:q '4 2 . Phone 2: S ct..VA <br /> Email: gg <br /> _..,.. 77.. ,.<„s •.?a.,a- ...x:_3�..axr1 u�. .L. <br />