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'BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwafer`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 A No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know TA <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name: ( C S C-CALS <br /> Property address: ( ,N, V` (� �((} <br /> Phone 1: (® v 2—, 3 Phone 2: <br /> Email: Oil e SCQv S & )(-I11itr. in li Sou ree cool <br />