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li vt dii i qwa f-ui e <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> o�53a Col ,k_cD <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 liXio ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes to ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No VKon't Know ❑ <br /> Do you have a grinder pump in your basement?n Yes ❑ No on't Know LI <br /> Name: Y11 )-u1 (r�(X )U kI (*AL) <br /> Property address: a S 3 rnrCJI / Ire-. c% v'C2 X{ 94-201 <br /> Phone 1: if2-5. 3SS-1g22 Phone2: ' - iS 2-1 2 <br /> Email: nal y TI f3YT e -Cron ie r i Corn <br /> ..,rg tte ,L. - <br />