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• . ; <br /> ACKWATER 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'J No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes)t] 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 /> ti51 i3 �- — 44'5 <br /> Name: 'T y-r1,% 1/4, ; %n/ct l,e,V5/Cy/ <br /> Property address: /90!n d¢.v' <br /> Phone 1: .26- sq 621P2-40 Phone 2: 24 6 23 ' <br /> Email: Vi Gki (/proidetzii a fL"14 <br /> g <br /> _<,_. r,3,.,.��.. .,:d, ,. _t .d ,� _ ..a ,.. ,a <br />