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J <br /> 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 ID No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No YI Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No &4 Don't Know ❑ <br /> Name: �j m a. C� /^ .; 3b/C <br /> r -3 � ' <br /> Property address:3 G t �` 3�G 7 13V�t� �-- <br /> Phone t:% `\27 Phone2: `'�2 (�_ `"v22-33k <br /> Email: ` C t! 03 (a �t � Vei \ c ri A 1 <br />