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, <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our rerords indicale ihat a backwaler prevention device must be installed on the sewer <br /> connedion at ihe address identi(icd on the enclosed letter. Please help us verify lhat our <br /> informalion is correcl by arswering the following questions ahout your property <br /> Do you have a basement? Yes� No � , <br /> It yes;does it have plumbing fixtures (sink, toilel, floor drain, etc.)? Yes�i No ❑ <br /> Do you have a back+,vater valve on your sewer line? Yes � No ❑ Don't Know <br /> � De�i� <br /> Do you have a grinder pump in your basemenl? Ycs ❑ No �'Don't Know�( ,-t—�j <br /> f ^ �a�' .�• <br /> Name: �—.�✓..J G r��V1 �-��.n <br /> Properly address: _���� V V _ <br /> Phonel y'Z_5���/ �I�hone2: `"�2�� �``�— V � 'G � <br /> Email ��i ���1��-�'1/�� � V �.`>� ° �CY✓1... <br /> J <br /> _' ------� ,�.. , , ;r;� ,..,�.� �, . <br /> �- --� _- -�■�.i,11���.Lu�f�t.b�,�.t����,�,�,�:���� :,._,:��,t;t.b� ,,� <br />