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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 correctby answering the following questions about your property <br />(ryh t b .t lPcl o�✓ 1V . of <br />Do you have abasement? Yes' ❑ No � MN <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes ❑ No ❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No X] Don't Know ❑ <br />Do you have a grinder pump in your basement? Yes ❑ No Vi Don't Know ❑ <br />--� <br />.f <br />Properlyaddress:rz2ae' / ltcfkdF/4, 4I/e-- <br />Phone t :,Vy ago Phone 2: <br />Email. <br />I <br />