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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 /> `� ct�ak c4 <br /> Do you have a basement? Yes'h[f No ❑ /u,vwN�.b*se <br /> If yes,does it have plumbing fixtures'' (sink,toilet,floor drain,etc.)? Yes IZ(No <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know A <br /> Do you have a grinder pump in your basement? Yes II] No ElDon't Know ?i <br /> Name: k o rvir k <br /> ck <br /> Property address: 79.-J3 'v q-u4v, /7_ t Ve R <br /> 1 <br /> Phone 1:.3(2ti... ' ' V5'z'S Phone2: <br /> i_ <br /> Email: �i'►"G f3i ra t.c.oc to 9am-:I.f wv) x.a r° y <br />