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BACKWATER PREVENTION DEVICE PROGRAM� P `1 <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 ❑ No IrV- <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 /> Name: Da G- t <br /> Property address: ?if ac, ? OC-ICE-FE <br /> LL /kOO� <br /> ( (ao o Phone 1: / '0 1 S Phone 2: '00 /S_77 <br /> Email: I rV t V`E D Q <br /> ,r <br /> .:s_ c,A :;s'ttI.t,:. ?k € 41 . ..... t 4 <br />