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tat-td otc.c h e {?�_ <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 VI No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes M No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know k <br /> Do you have a grinder pump in your baste/ment? Yes El No iJ Don't Know ❑ <br /> Name: VicAz r't L nF('Gl n 14 PoSiinn4 <br /> Property address: O�3o G ra vial. A v <br /> Phone1: ya5 2.76, 350 t1 Phone2: y25 g U /D3t <br /> Email: 4L1p°5+W.G Co rY-tco-st a r1e.--f' <br />