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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 No ❑ <br /> If yes,does it have plumbing fixture sink)toilet,dor drain,etc.)? Yes 0 No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know 0 <br /> Do you have grinder pump in your basement? Yes ❑ No 0Don't Know <br /> ` , ❑ <br /> Name: aim.► <br /> Property address: 115 4v-4Kd At ewe <br /> Phone 1: 'tZS'SO 8 3S10 Phone 2: SGO 'G21 <br /> Email: t"le ftfArti Ili 5 e hot niet l to <br />