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� BACK EVENTION DEVICE PROGRAM �.:._ <br />' Our �ecords indicate that a backwater prevention device must be installed on ihe sewer <br />connection at the address identified un the enciosed letter. Please help us verify lhat our <br />informalion is correct by answering the following questions a6out your property: <br />Do you have a basement? Yes �� <br />if yes, does it have plumbing fixtures (sink, toilel, floor drain, etc.)? Yes � No B/ <br />Do you have a backwater valve on y�ur sewer line? Yes ❑ No ❑ Don't Know [� <br />Do you have a grinder pump in your basement? Yes ❑ No on't Know ❑ <br />Name: <br />LG// ` t�/ �� <br />Property address: ���� �G ��� " � � � <br />Phone 1� V' ��v� �� �� Phone 2; <br />Email: �'��" �LG�(� ���Zl�i i�'(! L- . W� <br />