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• BACKWATER PREVENTIOU EVICE 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 t e 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 ef <br /> Do you have a grinder pump in your basement? Yes ❑ No Q Don't Know ❑ <br /> Name: 1 0 . <br /> 11 41.51 VIG °Lit"° <br /> Property address: 7 4 1 V V t(ctf fr" <br /> Phone 1: 20t` D 51 O136 Phone 2: 7(0 -3 0�1 <br /> Email: J orc ? e ya..k's-e- coy— <br /> . <br />