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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 EfeNo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 1E/N..o ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know LG, <br /> Do you have a grinder pump in <br /> your basement? Yes ❑ No IrDon't Know ❑ <br /> Name: 141,4 !1'�1�lGPP✓ff ot� <br /> Property address: /.T/ ? <br /> Phone 1: 4/2.5 6 7 2.O? Phone 2: <br /> Email: Kt....) •cv�, <br /> 0.1r ��Fw�Le»...�_. ? '. 1n. <br />