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Josiii,,c rd. du. to auc,ahc" - <br /> BACKWATER PREVENTION 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 /> ff ff ff ` ,,pper k-e / <br /> Do you have ab erh nt' Yes Li No A 4 W 41 )/ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 0 No <br /> Do you have a backwater valve on your sewer line? Yes LI No ion't Know ❑ <br /> Do you have a grinder pump in your basement?`` Yes ❑ No n't Know ❑ <br /> Name: f /1/11 LG !rI !a 17% <br /> Property address: d / I; 4 Ad//a� 2.Lf �i m y ls> L /� <br /> Phone 1: �'" �"d PFion2: <br /> Email: Vl !1 G k 9J(Ntcit/( L iI e 6 L ®f <br /> 1. 'r <br /> „, : ri 31 a10 � ... Ertl <br />