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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 IS6 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 V] Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ Nolit Don't Know ❑ <br /> Name: �,Q� Ri,C`t2260.4 <br /> Property address: -126c\bS Nc't° �Q\ ` V•seCNVe-- <br /> Phone 1: it2S ZSZ (.1°‘i Phone 2: Z (Q(Q d (9(O (p <br /> Email: COS\VV.. .C_.CANN, <br />