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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 lefty'. Please help us verify that our <br /> information is correct by answering)he following questions about your property: <br /> Do you have a basement? YesNo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes dNo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know d <br /> Do you have a grinder pump in your basement? Yes ❑ No /Don't Know ❑ <br /> Name: '>AMe7 C� O?T L JE' <br /> Property address: Z_:t-of ote41 �a <br /> if. <br /> Phone 1: 7l'fLI73 oon Phone 2: tf 0 42070 <br /> Email: 7i.luv eztzis . 9--,e tiv . COYY <br />