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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 LTNo n <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes Vr No ❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know [� <br />Do you have a grinder pump in your basement? Yes ❑ No {I Don't Know ❑ <br />Name. r 11(i/4��1/-CZ <br />Property address: �� Lc v-rol�C� AV e, - EV(E f <br />Phone 1 a?UI 4 y I y e) / Phone 2' <br />EmaI <br />