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/ *b <br /> ` p <br /> BACKWATER PREVENTI( bEVICE PROGRAM <br /> � ._ ato Icy cj rowl <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 ❑ No V <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No <br /> Do you have a backwater valve on your sewer line? Yes ❑ No [ 1015on't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No 1?8on't Know ❑ <br /> Name: J7Gh1Q J /� {t�� � <br /> Property address: a Co to lJ`fr.�n[J� ,4c^ . Cvt t O) <br /> Phone 1:f 2. 3�533 —II,e, 2_2 — Phone 2: ( 7t3 + <br /> ail <br /> e/ 2 <br /> Email: n I / i r C' ^ ( <br />