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?/7 fl4iE <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 question y:about your propert <br /> coiej <br /> Do you have a basement? Yes ❑ No /r�C� '�'" �5 / <br /> }ll <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?1 Yes ❑ No g Don't Know ❑ <br /> Name: �cA.(u is A o tom/ lc'tf <br /> Property address: � 'T1� � U� „sic J7i2W <br /> TucA �G�9 q 7i'-6 T 1) <br /> Phone 1: ia9D°'4,,ZWap(9 Phone 2: 40 <br /> Email: <br />