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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 ❑ <br /> Do you have a grinder pump in your basement?, Yes ff❑ NoDon't Know ❑ <br /> Name: ?r � l� d 11/1�k AI�IJ ttvS AC -., , <br /> Property address: 7 0,®,6 ` UCI<I' 144e, L tiet t t; ()tick / <br /> Phone 1:eiR 5)jci-S ' 'fit Phone 2: (VS) �C70 Holt <br /> Email: bonbon i1Z ho mw. IC.6111 <br />