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BACKWATER PREVENTIONLEVICE PROGRAM <br /> ", <br /> Our records indicate that a backwater preven'ti .device must be installed on the sewer <br /> connection at the address identified on the drised 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 To ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No 2/ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No 2on't Know ❑ <br /> Do you ha�ve/a grinderg pump in your basement? Yes ❑ No [t 'Don't Know ❑ <br /> Name: /t///�/ nfi <br /> rr 0r�y Lfr <br /> l(rere-C f <br /> Property address: �C�V% - / to�nQr V'�-`- �J <br /> Phone 1:1(2-S 353 ' 18 2Z Phone 2: zorp �t3 r de, <br /> Email: y or, e -- rbrihe.r, G rr•-- <br />