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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 ❑ 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 ►7 <br /> Do you have a grinder pump irzsyour basement? Yes ❑ No CO Don't Know ❑ <br /> Name: /41 A i /td t��df i C <br /> Property address: 2-7/ v Cir <br /> Phone 1: / T- ic2 f/"?7 Phone 2: <br /> Email: <br /> a 6�_ � is ��9�ti <br />