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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'i] No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet, loor drain,etc.)? Yes* No <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know`, <br /> Do you have grinder pum in your basement? Yes ❑ No ❑ Don't Know Ris <br /> Name: CS re = Q.VvS')1J <br /> Property address: 11 0 a- 7t,-) s ' �► `r [ Q 0 k <br /> Phone 1: Gf 5 -ter, (^'j 7? Phone 2: f GfGj <br /> Email: Si- ?td ca ,Jv'D „ c7V <br />