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BACKWATER PREVENTt4N DEVICE PROGRAM ✓✓✓ <br /> Oup records indicate that a backwater'Prevention device must be installed on the sewer <br /> connection at the address identified oh 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 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 ❑ No ❑ Don't Know ❑ <br /> (-PName: P(25I-OR e .AY\ <br /> Property address: L-A 6 MeitC1101 AVC �,�er <br /> Phone1: (115)ZI3G-521b Phone2: tt4�il .Zc3, <br /> o1' <br /> Email: }tS vil,�C (11%COO <br /> pr [[ <br />