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I <br /> BACKWATER,,PREVENTIOAC cE PROGRAM <br /> . Our records indibate that a backwater preventdidri device must be installed,on the sewer <br /> connection,at the address identified on,the enclosedletter Please help us verify that our <br /> information is correct by answering theliiiitOWing ctuesffi nStbout your property: <br /> Do you have a basement? Yes,ZNo ❑ <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 ❑ <br /> Do you have a grinder pump in your basement? Yes I] No�Don't Know ❑ <br /> Name: )ayt7ouJ 6 <br /> Property address: „2,3\-2- 0 '(Air( �V V �-i " �) C�"' ,D\ <br /> Phone 1:Qf) 'LI Phone 2: <br /> Email: <br />