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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? YesX 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 ' I <br /> Do you have a grinder pump in your basement? Yes El ElDon't Know j' is I e_sti- <br /> �u�ssd <br /> Name: CArlS /tJeMer <br /> '2-eft - -Ave <br /> Property address: ,/MY �� ,Ev�^�f f� / <br /> Phone 1: `7 �S 3'13 357 Phone 2: _ <br /> ,, r <br /> Email: G(4restv2drsS4 j•evkzi C01 <br /> 5 f 3 3 e< a �,..,, . , <.L a <br />