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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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes k No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know 1;4 <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name Q2*AIWA& eat <br /> Property address: 1575 1.0 1,4Jata , v tk <br /> PhonetWigl_Sg Phone 2:.2,,5 ty 7163 <br /> Emai . ! "�. 4/ iL( I1 ))./ N tt.. uiE'"'^"' <br /> ri <br /> '.ram 71 7 ,_u..�.7777 <br /> c <br />