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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 IVZ No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ►i7; No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have a grinder pump in your basement?(� Yes ❑t No ❑/Don't Know 150 <br /> Name: 5LC A 1\c�(5 . A Cwa /'u 31 oL C A y4LL( <br /> Property address: 3S {.�1 <br /> ®G CoCv t�y AVvt- (t Vt\l t ciA <br /> Phone 1: v J J " 3 C 1 o Phone2: <br /> Email: Stu. to 0 ok" e, c o ckSrc 7. - <br /> � �� ���� <br />