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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 /> Do you have a basement? Yes c)4 Nopt... <br /> If yes, does it have plumbing fixtures(sink,toile floor draih etc.)? YesXI No ❑ <br /> Do you have a backwater valve on your sewer line? es ❑ No ❑ Don't Know jk'j <br /> Do you have a grinderjj��� pump in your basement? Yes 11 No ❑ Don't Know <br /> Name: JC7 41cLu e.GRA 0 itril <br /> Property address: e Rock <br /> 4-1.X <br /> Phone 1:1,�j.3tq. Z‘ Phone 2: irC6.- <br /> �,22 <br /> Email: Af A /. A i <br /> g r <br /> :` ",. .a _s s ter,� s ,m, sr+ o��.�«. . . . , .a, <br />