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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 ❑ No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know ❑ <br /> Do you have a grinder pump i your basement? Yes ❑ No ❑ Don't Know El <br /> Name: cr.N V6: <br /> JPr- <br /> Property address: 040 b ('j A 1k1.J- Z `/`rr_. <br /> Phone 1: Z-" 'Ste\ - 01'b Phone 2: <br /> Email: �"'.� r^ �GIe✓ . �d_ r,,. -f .far-�,. <br />