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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 Xi No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes X] No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know X <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know X <br /> Name: 07,1 47,/22 <br /> Property address: 0w1 C✓L: ✓2�D./G• ,96P,Z®/ <br /> Phone 1:4,45 ,43 5- I Phone 2: ��3/J J�am — 2)l <br /> Email: creNi 'C.2,7Co /e net- o i')2� <br /> • <br /> .a 1 ..„:. ........ ..... .. ... <br />